Organization
PSYCHIATRIC CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D DEVINE M.D. (PRESIDENT)
(813) 657-7546
Entity
Organization
Contact information
Practice address
342 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 657-7546
Mailing address
342 E BLOOMINGDALE AVE, BRANDON, FL 33511-8155
(813) 657-7546
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0072537
FL
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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