Organization
INDIGO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BRION (CHIEF OPERATING OFFICER)
(941) 915-6395
Entity
Organization
Contact information
Practice address
1693 MAIN ST, SUITE A, SARASOTA, FL 34236-5864
(941) 915-6395
Mailing address
12929 LA ROCHELLE CIR, PALM BEACH GARDENS, FL 33410-1406
(941) 915-6395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW10574
FL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
ME60327
FL
251S00000X
Community/Behavioral Health Agency
Primary
ARNP9245432
FL
Other
Enumeration date
02/12/2016
Last updated
03/24/2016
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