Organization Name: | RICHARD F. LAMACCHIA, PHD, PA |
NPI Number: | 1316100548 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD F LAMACCHIA (PRESIDENT) |
Mailing Address: | 1980 N Atlantic Ave Suite 515 Cocoa Beach |
State: | FL US |
Postal Code: | 329315213 |
Phone Number: | 3212669895 |
Fax Number: | |
NPI Enumeration Date: | 07/08/2008 |
NPI Last Update Date: | 07/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | PY5573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |