Monrose Clinic Associates For Psychological Medicine

LBN: Monrose Clinic Associates For Psychological Medicine
Monrose Clinic Associates For Psychological Medicine is an health care organization with primary practice located at 3627 University Blvd South Suite 615 , Jacksonville FL 32216-2721. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Monrose Clinic Associates For Psychological Medicine can be contacted via phone (904) 725-6463, or through Shah, Atul M via phone (904) 725-6463.

Contact Information

Primary practice address
3627 University Blvd South Suite 615 Jacksonville FL 32216-2721
Phone: (904) 725-6463
Fax: (904) 724-5006
Website:
Map and Directions
Authorized official contact:
Name: Shah, Atul M Doctor of Medicine (MD)
Phone: (904) 725-6463

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X ME0048902 Florida

Profile Details

NPI number 1902076524
LBN Legal business name Monrose Clinic Associates For Psychological Medicine
DBA Doing business as
Authorized official Shah, Atul M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 11th, 2008
Last updated Sep 17th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902076524 NPPES
Florida Other 081686072 TRICARE
Florida Other 081686072 TRICARE
Florida Other 4115015 TRICARE
Florida Other 14203 TRICARE
Florida Other 016627000 TRICARE
Florida Other 05770 TRICARE
Florida MEDICAID 043765400 TRICARE
Florida Other 05770 TRICARE
Florida Other 081686072 TRICARE
Florida Other 088657 TRICARE
Florida Other 256262286A TRICARE

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