Organization
EVOLVE BEHAVIORAL MEDICINE LLC
Active
Other names
EBM, EBM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CUONG TON MD (OWNER/MEDICAL DIRECTOR)
(813) 384-8521
Entity
Organization
Contact information
Practice address
16614 N DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 384-8521
(813) 678-2768
Mailing address
8348 LITTLE RD, PMB 138, NEW PORT RICHEY, FL 34654-6358
(813) 384-8521
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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