Organization
SOUTHERN FLORIDA PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNAMARIE LOPINTO (CONTROLLER)
(561) 815-2649
Entity
Organization
Contact information
Practice address
710 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2692
(561) 815-2649
Mailing address
PO BOX 162473, ALTAMONTE SPRINGS, FL 32716-2473
(561) 815-2649
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
12/02/2016
Last updated
04/05/2022
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