Nextgen Integrative Psychiatry

Specialty details in registry · Tampa, FL

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At a glance

4830 W Kennedy Blvd Ste 600, Tampa, FL 33609-2584

NPPES record updated Nov 19, 2025. Public records can lag behind changes at a practice.

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Practice location

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584

Professional details: NPI, taxonomy & registry record

NPI1194686253

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QM0855X
Enumeration date: Nov 19, 2025
Record updated: Nov 19, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM0855X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4830 W Kennedy Blvd Ste 600
Tampa, FL 33609-2584

Phone: (813) 736-6902
Fax: (727) 476-4930

Mailing address

805 E BLOOMINGDALE AVE # 795

BRANDON, FL 335118113

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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