Organization
MASINO MENTAL HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE P MASINO II PSYD (OWNER)
(850) 424-5210
Entity
Organization
Contact information
Practice address
507 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2027
(850) 424-5210
(850) 424-3220
Mailing address
507 JOHN SIMS PKWY E, NICEVILLE, FL 32578-2027
(850) 424-5210
(850) 424-3220
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY6920
FL
Other
Enumeration date
10/18/2013
Last updated
10/14/2025
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