MEDICARE: GROW WELL PSYCHIATRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1003771684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROW WELL PSYCHIATRY

Provider Business Mailing Address
First Line	:	7795 117TH ST
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-5223
Country	:	US
Telephone Number	:	727-418-2120
Fax Number	:	352-820-4133

Provider Business Practice Location Address
First Line	:	7795 117TH ST
Second Line	:
City	:	SEMINOLE
State	:	FL
Zip	:	33772-5223
Country	:	US
Telephone Number	:	727-418-2120
Fax Number	:	352-820-4133

Authorized Official
Title or Position	:	PMHNP
Name	:	JILL MORAN
Credential	:	APRN
Telephone Number	:	727-418-2120

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

Similar Medicare Providers

1467111278 — SOUTHEAST EYE INSTITUTE, PA
Practice Location Address:

10755 PARK BLVD
SEMINOLE, FL
33772-5420

Practice Phone: 727-392-0907
Practice Fax:

1437953742 — MOTION CHIROPRACTIC LLC
Practice Location Address:

10575 68TH AVE STE D2
SEMINOLE, FL
33772-6024

Practice Phone: 727-371-5719
Practice Fax: 727-258-5241

1083887210 — DEBRA JAYNE BEBELL A.P, RN,BSN
Practice Location Address:

10111 109TH ST , 10111 109TH STREET
SEMINOLE, FL
33772-2443

Practice Phone: 727-391-6678
Practice Fax:

1609293901 — AMIR AHMAD ALDABAGH M.D.
Practice Location Address:

10875 PARK BLVD
SEMINOLE, FL
33772

Practice Phone: 727-851-9910
Practice Fax: 727-851-9949

1730189267 — RAFAEL M PALAGANAS D.D.S
Practice Location Address:

8201 113TH ST
SEMINOLE, FL
33772-4128

Practice Phone: 727-393-3679
Practice Fax: 727-394-9022

1861494262 — DR. BRUCE P. SMITH M.D.
Practice Location Address:

9555 SEMINOLE BLVD
SEMINOLE, FL
33772-2562

Practice Phone: 727-393-5428
Practice Fax: 727-399-9037

Directions to “GROW WELL PSYCHIATRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.