Organization
KEYSTONE PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAZZIE HARRISON MCLEOD APRN PMHNP-BC (OWNER/APRN)
(352) 494-6692
Entity
Organization
Contact information
Practice address
275 S LAWRENCE BLVD STE 3, KEYSTONE HEIGHTS, FL 32656-9473
(352) 494-6692
(352) 558-3422
Mailing address
2380 SE 43RD ST, KEYSTONE HEIGHTS, FL 32656-5822
(352) 494-6692
(352) 558-3422
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
02/19/2024
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