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Contact Information

JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE
4001 E FLETCHER AVE
TAMPA, FL33613-4808
 Phone: 813-866-1611
 Fax: 813-866-1612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for JOHNNIE B BYRD SR ALZHEIMERS CENTER AND RESEARCH INSTITUTE · (Female)

NPI # 1972700169
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2007
Last updated 07/15/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME31300
  • FL License # SW 7429
  • FL Other ME31300 BALEBAIL ASHOK RAJ, M.D.
  • FL Other SW 7429 NANCY ANN TETEN, LCSW,CAP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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