Organization
UPSHAW TMS LLC
Active
Other names
NeuroSpa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMI J BROCHMAN (DIR OF HR, COMPLIANCE & CORP ADMIN)
(813) 605-1122
Entity
Organization
Contact information
Practice address
6511 GUNN HWY, TAMPA, FL 33625-4021
(813) 731-5807
Mailing address
6511 GUNN HWY, TAMPA, FL 33625-4021
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
ME96275
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME96275
MEDICAL LICENSE
FL
Enumeration date
06/06/2018
Last updated
10/02/2024
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