NPI:
1841220811
Provider Name:
CGR BEACON CLINIC, PA
Doing Business As: CGR BEACON CLINIC, PA
Classification:
Counselor - 101YP2500X
Entity Type:
Organization
Specialization: Professional
Address:
3782 TAMIAMI TRL
PORT CHARLOTTE, FL
ZIP 33952
Phone:
(941) 629-7855
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CGR BEACON CLINIC, PA is a professional counselor in Port Charlotte, FL. CGR BEACON CLINIC, PA NPI is 1841220811. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cgr Beacon Clinic, Pa.
The provider's business location address is:
3782 TAMIAMI TRL
PORT CHARLOTTE, FL
ZIP 33952-353
Phone: (941) 629-7855
Fax: (941) 629-9589
The provider's authorized official is Charlene Joan Rosenfield .
The authorized official title is Arnp and has the following contact phone number (941) 629-7855.
The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/22/2020.