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Contact Information

FLORIDA MEDICAL PSYCHOLOGY ASSOCIATES, LLC
12167 W. LINEBAUGH AVE.
TAMPA, FL33626-4615
 Phone: 813-386-6800
 Fax: 813-891-1311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FLORIDA MEDICAL PSYCHOLOGY ASSOCIATES, LLC

NPI Number 1124123534
LBN Legal business name FLORIDA MEDICAL PSYCHOLOGY ASSOCIATES, LLC
Authorized official MARIO RODRIGUEZ - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 05/10/2013 - About 13 years ago
Identifiers
FL License # PY6274
FL License # PY6377
FL License # PY6420
FL License # PY6792
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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