Organization
PREFRONTAL PATHWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NUPUR GODBOLE KROGER MD (GERIATRIC PSYCHIATRIST)
(813) 388-8711
Entity
Organization
Contact information
Practice address
9222 OVERLOOK DR, TEMPLE TERRACE, FL 33617-5422
(813) 388-8711
(239) 356-3752
Mailing address
9222 OVERLOOK DR, TEMPLE TERRACE, FL 33617-5422
(813) 388-8711
(239) 356-3752
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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