Evolve Behavioral Medicine Llc

LBN: Evolve Behavioral Medicine Llc
Evolve Behavioral Medicine Llc is an health care organization with primary practice located at 16614 N Dale Mabry Hwy , Tampa FL 33618-1400. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Research. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Evolve Behavioral Medicine Llc can be contacted via phone (813) 384-8521, or through Ton, Cuong via phone (813) 384-8521.

Contact Information

Primary practice address
16614 N Dale Mabry Hwy Tampa FL 33618-1400
Phone: (813) 384-8521
Fax: (813) 678-2768
Website:
Map and Directions
Authorized official contact:
Name: Ton, Cuong Doctor of Medicine (MD)
Phone: (813) 384-8521

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Ambulatory Health Care Facilities / Research 261QR1100X

Profile Details

NPI number 1982472049
LBN Legal business name Evolve Behavioral Medicine Llc
DBA Doing business as
Authorized official Ton, Cuong Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2023
Last updated Dec 18th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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