Organization
FLORIDA BEHAVIORAL INSTITUTE PLC
Active
Other names
Florida Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHOK M PATEL M.D. (SECRETARY TREASURER)
(727) 518-6444
Entity
Organization
Contact information
Practice address
1100 CLEARWATER LARGO RD N, LARGO, FL 33770-4131
(727) 518-6444
(727) 581-2678
Mailing address
1100 CLEARWATER LARGO RD N, LARGO, FL 33770-4131
(727) 518-6444
(727) 581-2678
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K3338
MEDICARE PTAN
FL
Enumeration date
08/10/2006
Last updated
09/23/2024
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