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Contact Information

HARBORSIDE PSYCHIATRIC SERVICES, LLC
150 W. MCKENZIE STREET
SUITE #117
PUNTA GORDA, FL33950
 Phone: 941-205-3333
 Fax: 941-205-3334
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for HARBORSIDE PSYCHIATRIC SERVICES, LLC

NPI Number 1972788669
LBN Legal business name HARBORSIDE PSYCHIATRIC SERVICES, LLC
Authorized official JOAN FLYNN - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/01/2008
Last updated 05/17/2018 - About 8 years ago
Identifiers
FL License # L07000124924
FL License # ME86547
FL License # SW7783
FL Medicaid 266691001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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