Provider Demographics
NPI:1205564366
Name:TAMPA NEUROPSYCHIATRY, LLC
Entity type:Organization
Organization Name:TAMPA NEUROPSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAIZI
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-247-1580
Mailing Address - Street 1:603 S BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2629
Mailing Address - Country:US
Mailing Address - Phone:813-995-1775
Mailing Address - Fax:813-642-4877
Practice Address - Street 1:625 6TH AVE S STE 155
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4619
Practice Address - Country:US
Practice Address - Phone:727-440-5513
Practice Address - Fax:813-642-4877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty