Organization
LUMINARA VINDI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G QUINLAN (CLINICAL PSYCHOLOGY)
(727) 906-6185
Entity
Organization
Contact information
Practice address
300 2ND AVE SOUTH EAST #83, SAINT PETERSBURG, FL 33701-3370
(727) 906-6185
Mailing address
300 2ND AVE SOUTH EAST, #83, SAINT PETERSBURG, FL 33701-2023
(727) 906-6185
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
11/17/2023
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