Organization
MD SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL MCKENNA MD (OWNER)
(727) 999-2750
Entity
Organization
Contact information
Practice address
1110 PINELLAS BAYWAY S STE 102, SAINT PETERSBURG, FL 33715-1506
(813) 567-5675
Mailing address
1110 PINELLAS BAYWAY S STE 102, SAINT PETERSBURG, FL 33715-1506
(813) 567-5675
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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