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Organization

TARPON PSYCHIATRIC CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IRENE ANDREA NICKOLAKIS M.D. (PRESIDENT)
(727) 938-0714
Entity
Organization

Contact information

Practice address
1501 S PINELLAS AVE, SUITE K, TARPON SPRINGS, FL 34689-1955
(727) 938-0714
(727) 938-9513
Mailing address
1501 S PINELLAS AVE, SUITE K, TARPON SPRINGS, FL 34689-1955
(727) 938-0714
(727) 938-9513

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0055877
FL

Other

Enumeration date
02/21/2007
Last updated
08/22/2020
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