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Contact Information

FELIX J. SUBERVI III PH.D. PA
201 N. MACDILL AVE.
TAMPA, FL33609
 Phone: 813-876-1832
 Fax: 813-876-0133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for FELIX J. SUBERVI III PH.D. PA

NPI Number 1104070200
LBN Legal business name FELIX J. SUBERVI III PH.D. PA
Authorized official FELIX SUBERVI - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2008
Last updated 11/17/2008 - About 18 years ago
Identifiers
FL License # MH 4892
FL License # PY5313
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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