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Organization

PSYCH 2 U PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBA ELAINE SHOENFELT ARNP (MEMBER MANAGER)
(727) 214-7079
Entity
Organization

Contact information

Practice address
7945 1ST AVE S, ST PETERSBURG, FL 33707-1019
(727) 214-7079
(954) 245-3143
Mailing address
7945 1ST AVE S, ST PETERSBURG, FL 33707-1019
(727) 214-7079
(954) 245-3143

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3027792
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
L06000021570
ASSIGNED DOCUMENT NUMBER
FL
Enumeration date
07/10/2006
Last updated
08/22/2020
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