Organization
CHILD & ADULT PSYCHIATRY OF LAKEWOOD RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA COLLAZO (OFFICE MANAGER)
(941) 518-1265
Entity
Organization
Contact information
Practice address
5331 PAYLOR LN, SUITE 200, LAKEWOOD RANCH, FL 34240-2209
(941) 518-1265
Mailing address
5331 PAYLOR LN, SUITE 200, LAKEWOOD RANCH, FL 34240-2209
(941) 518-1265
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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