Organization
HNI PSYCH SERVICES OF FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KLOSTERMAN (CFO)
(512) 730-3060
Entity
Organization
Contact information
Practice address
13881 EAGLE RIDGE DR, FORT MYERS, FL 33912-1866
(239) 561-7700
Mailing address
30575 BAINBRIDGE RD, SOLON, OH 44139-2221
(440) 542-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
02/27/2020
Last updated
11/23/2020
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