Organization
TAMPA BAY PSYCHIATRIC SERVICES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNA WANDA GLUSZAK (PRACTICE MANAGER)
(813) 699-4020
Entity
Organization
Contact information
Practice address
5664 MARQUESAS CIR, SARASOTA, FL 34233-3331
(941) 527-0159
(813) 464-7682
Mailing address
1767 LAKEWOOD RANCH BLVD, NO. 255, BRADENTON, FL 34211-4906
(941) 527-0159
(813) 464-7682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME104526
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME104526
FL
Other
Enumeration date
12/23/2015
Last updated
03/25/2019
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