Overview
Name: DAVENPORT BEHAVIORAL CENTER LLC
Specialty: Psychiatric/Mental Health Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Psychiatric/Mental Health.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: DAVENPORT BEHAVIORAL CENTER LLC,19 N 6TH STREET,19A,HAINES CITY,FL,33844,US
Mailing Address: DAVENPORT BEHAVIORAL CENTER LLC,109 AMBERSWEET WAY,DAVENPORT,FL,338978418,US
Contact #
Practice location phone #: 3216636375
Practice location fax #:
Mailing address Phone #: 3216636375
Mailing Address fax #:
Authorized official Name/Telephone #:MS., FRAINELYS, CRUZ, PMHNP, PROVIDER 3212784084
Misc
Date NPI was obtained: 08/24/2021
Last data data was updated: 10/21/2021
Insurances: