MEDICARE: TURNWELL MENTAL HEALTH OF WEST FLORIDA, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084P0805X	Geriatric Psychiatry Physician
2	2084P0802X	Addiction Psychiatry Physician
3	101Y00000X	Counselor
4	104100000X	Social Worker
5	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1346047560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNWELL MENTAL HEALTH OF WEST FLORIDA, PA

Provider Business Mailing Address
First Line	:	3500 MAPLE AVE STE 1600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-3936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 S MACDILL AVE STE 400
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-5245
Country	:	US
Telephone Number	:	813-344-5074
Fax Number	:

Authorized Official
Title or Position	:	VP, GROWTH
Name	:	PRIYANKA GANDHI
Credential	:
Telephone Number	:	469-765-0328

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	10/06/2025

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