Hopebridge Llc
Child & Adolescent Psychiatry Physician in Brandon, FL(View on Map)
Legal Business Name
Hopebridge Llc
NPI Number
1346913381
NPI Type
Organization
Enumeration Date
07/27/2021
Specialties
(Taxonomies)Name
Code
2084P0804X
106E00000X
106S00000X
103K00000X
103TC0700X
103TH0100X
103T00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
3500 DEPAUW BLVD STE 3070
220 GRAND REGENCY BLVD
City
Indianapolis
Brandon
State
IN
FL
Postal Code
46268-6135
33510-3935
Country
US
US
Telephone Number
N/A
(855) 234-0885
Authorized Official
Name
Angie Graff
Title or Position
CONTRACTING & CREDENTIALING MANAGER
Telephone Number
(317) 376-8336
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/27/2021
Provider Address
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Hopebridge Llc
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