Fred J Petrilla Jr Phd & Associates Pa

LBN: Fred J Petrilla Jr Phd & Associates Pa
Fred J Petrilla Jr Phd & Associates Pa is an health care organization with primary practice located at 1903 25Th St , Vero Beach FL 32960-3366. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Fred J Petrilla Jr Phd & Associates Pa can be contacted via phone (772) 562-0777, or through Petrilla, Fred J via phone (772) 562-0777.

Contact Information

Primary practice address
1903 25Th St Vero Beach FL 32960-3366
Fax: (772) 770-3285
Website:
Authorized official contact:
Name: Petrilla, Fred J PHD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0002507 Florida
Behavioral Health & Social Service Providers / School 103TS0200X SS33 Florida

Profile Details

NPI number 1003190059
LBN Legal business name Fred J Petrilla Jr Phd & Associates Pa
DBA Doing business as
Authorized official Petrilla, Fred J PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2011
Last updated Nov 17th, 2011 - about 13 years ago

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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