PSYCHIATRIC BEHAVIORAL SERVICES, INC
Nursing in Saint Petersburg, FL

License number
Florida ARNP9266748
Category
Nursing
Type
Nurse Practitioner
Owner
Name: EDWARD F MCCULLOUGH ARNP
Title: PRES
Phone: (727) 823-5555
Address
Address
6161 Dr Martin L King St N STE 102, Saint Petersburg, FL 33703
National Provider ID: 1932451507
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHIATRIC BEHAVIORAL SERVICES INC

Saint Petersburg, FL

Registration:
Sep 13, 2012
Addresses:
2852 66 St N, Saint Petersburg, FL 33710 (Physical)
Saint Petersburg, FL 33743 (Mailing)
6862 5 Ave N, Saint Petersburg, FL 33710
PO Box 55734, Saint Petersburg, FL 33732
State ID:
P12000077819
Business type:
Florida Profit Corporation
President:
Edward Mc Cullough (President), 2852 66 St N, Saint Petersburg, FL 33710 (Physical)
Agent:
Mccullough, Edward,2852 66 St N, Saint Petersburg, FL 33710 (Physical)
EIN:
46-1009835

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