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Organization

ALEXANDER T GIMON PHD PA

Active
Other names
Alexander T Gimon PhD PA & Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER T GIMON PHD (PSYCHOLOGIST)
(727) 584-1551
Entity
Organization

Contact information

Practice address
10225 ULMERTON RD, STE #12B, LARGO, FL 33771-3538
(727) 584-1551
(727) 581-5107
Mailing address
10225 ULMERTON RD, STE #12B, LARGO, FL 33771-3538
(727) 584-1551
(727) 581-5107

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002959
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
233827
AMERIGROUP
FL
01
281457
VALUEOPTIONS
FL
01
375767
HARMONY BEHAVIORAL HEALTH
FL
05
768618800
FL
Enumeration date
11/17/2006
Last updated
12/07/2009
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