MEDICARE: APPLIED SCIENCES AND KNOWLEDGE FOR MENTAL DISORDERS PA

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	2084P0800X	Psychiatry Physician	ME63065	FL

General Provider Information

NPI Number	:	1316209455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLIED SCIENCES AND KNOWLEDGE FOR MENTAL DISORDERS PA

Provider Business Mailing Address
First Line	:	555 RANCH RD
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34688-9027
Country	:	US
Telephone Number	:	727-271-3988
Fax Number	:

Provider Business Practice Location Address
First Line	:	555 RANCH RD
Second Line	:
City	:	TARPON SPRINGS
State	:	FL
Zip	:	34688-9027
Country	:	US
Telephone Number	:	727-271-3988
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WILLIAM LAURENTE CUA
Credential	:	M.D.
Telephone Number	:	727-271-3988

Provider Enumeration Date	:	06/14/2012
Last Update Date	:	06/15/2012

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Directions to “APPLIED SCIENCES AND KNOWLEDGE FOR MENTAL DISORDERS PA ” Practice Location

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