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Southern Psychiatry Llc
Primary Care Nurse Practitioner in Crestview, Florida
NPI 1467917898

Southern Psychiatry Llc is a Primary Care Nurse Practitioner based in Santa Rosa Beach, FL and is specialized in Primary Care. Southern Psychiatry Llc practices in Crestview, FL. The NPI Number for Southern Psychiatry Llc is 1467917898 and holds a License No. (Florida).

The current practice location address for Southern Psychiatry Llc is 500 Hospital Dr, Crestview, FL and can be reached out via phone at 850-687-0887.

Location: 500 Hospital Dr, Crestview, FL, 32459-3039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467917898
Provider Name
Southern Psychiatry Llc
Credential
Provider Entity Type
Organization
Address
500 Hospital Dr, Crestview, FL, 32459-3039
Phone Number
850-687-0887
Fax Number
Provider Enumeration Date
02/11/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
500 Hospital Dr
City
Crestview
State
Florida
Zip
32539-7355
Phone Number
850-687-0887
Fax Number
person
Provider Business Mailing Address Details
Address
500 Hospital Dr
City
Crestview
State
Florida
Zip
32539-7355
Phone Number
850-687-0887
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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