Organization
EXPRESS PSYCH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGETTE DENISE AGEE PMHNP (CEO)
(863) 225-2355
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(863) 225-2355
(863) 225-4401
Mailing address
5112 SUMMER BROOKE LN, LAKELAND, FL 33811-2679
(863) 225-2355
(863) 225-4401
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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