Organization
NEUROBEHAVIORAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAGNESH P PATEL MD (OWNER)
(215) 863-1653
Entity
Organization
Contact information
Practice address
613 W DR MARTIN LUTHER KING JR BLVD STE 104, TAMPA, FL 33603-3400
(813) 587-9911
(833) 905-0111
Mailing address
PO BOX 271894, TAMPA, FL 33688-1894
(215) 863-1653
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
02/19/2024
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