Provider Demographics
NPI:1508488545
Name:SUCCESS TMS NORTH FLORIDA, LLC
Entity Type:Organization
Organization Name:SUCCESS TMS NORTH FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TELMOSSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-947-3340
Mailing Address - Street 1:350 CORPORATE WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-2853
Mailing Address - Country:US
Mailing Address - Phone:954-947-3340
Mailing Address - Fax:561-413-5627
Practice Address - Street 1:350 CORPORATE WAY STE 100
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-2853
Practice Address - Country:US
Practice Address - Phone:954-947-3340
Practice Address - Fax:561-413-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty