Organization
A1 MEDICAL & BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA DENISE HARVEY (ARNP)
(727) 218-8961
Entity
Organization
Contact information
Practice address
2822 54TH AVE S # 215, SUITE 215, ST PETERSBURG, FL 33712-4610
(727) 218-8961
Mailing address
2822 54TH AVE S # 215, SUITE 215, ST PETERSBURG, FL 33712-4610
(727) 218-8961
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/20/2016
Last updated
01/09/2017
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