Organization
GULFSIDE BEHAVIORAL CARE NP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE I MCDERMOTT ARNP (OWNER)
(860) 250-4522
Entity
Organization
Contact information
Practice address
3902 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 756-1200
(941) 739-9358
Mailing address
3902 E STATE ROAD 64, BRADENTON, FL 34208-9059
(941) 756-1200
(941) 739-9358
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
02/10/2023
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