Organization
UNIVERSITY PARKWAY BEHAVIORAL HEALTH
Active
Other names
University Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GABRIEL MARIANO (CEO)
(941) 315-6895
Entity
Organization
Contact information
Practice address
950 S TAMIAMI TRL, SUITE 103, SARASOTA, FL 34236-7840
(941) 315-6895
(941) 421-0102
Mailing address
950 S TAMIAMI TRL, SUITE 103, SARASOTA, FL 34236-7840
(941) 315-6895
(941) 421-0102
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
CME 5967827
FL
Other
Enumeration date
08/13/2012
Last updated
05/21/2014
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