Organization
SEABREEZE BEHAVIORAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARDO J ARIAS M.D. (OWNER)
(941) 766-9555
Entity
Organization
Contact information
Practice address
923 DEL PRADO BLVD S, SUITE 106, CAPE CORAL, FL 33990-3652
(239) 242-8773
(239) 242-8775
Mailing address
PO BOX 495755, PORT CHARLOTTE, FL 33949-5755
(941) 766-9555
(941) 766-1511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38239A
FLORIDA BC & BS
FL
Enumeration date
07/29/2006
Last updated
07/25/2007
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