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Organization

WEST FLORIDA BEHAVIORAL HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DILALLA (VICE PRESIDENT)
(603) 531-2657
Entity
Organization

Contact information

Practice address
8333 N DAVIS HWY, 11TH FLOOR, PENSACOLA, FL 32514-6050
(850) 474-8360
(850) 969-2970
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
264017100
FL
Enumeration date
12/09/2005
Last updated
03/01/2024
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