Organization
CENTER OF REVITALIZING PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARINA TOURKOVA M.D. (MEDICAL DIRECTOR)
(941) 677-3366
Entity
Organization
Contact information
Practice address
2033 WOOD ST STE 220, SARASOTA, FL 34237-7927
(941) 677-3366
(941) 677-3367
Mailing address
2033 WOOD ST STE 220, SARASOTA, FL 34237-7927
(941) 677-3366
(941) 677-3367
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
12-58-AD-4404-01
FL
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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