PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA LLC NPI 1174951891

NPI Information

NPI: 1174951891
Provider Name: PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA, LLC
Classification: Psychiatry & Neurology - 2084B0040X
Entity Type: Organization

Specialization: Behavioral Neurology & Neuropsychiatry

Address:
3389 W VINE ST
SUITE 304
KISSIMMEE, FL
ZIP 34741
Phone: (407) 962-7449
Get Directions

PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA, LLC is a behavioral neurology and neuropsychiatry psychiatry neurology in Kissimmee, FL. The provider is behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. PSYCHIATRIC CONSULTANTS OF CENTRAL FLORIDA, LLC NPI is 1174951891. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3389 W VINE ST
SUITE 304
KISSIMMEE, FL
ZIP 34741-665
Phone: (407) 962-7449
Fax: (407) 563-5491

The provider's authorized official is Ajith Kumar Potluri .
The authorized official title is Owner and has the following contact phone number (407) 962-7449.

The enumeration date for this NPI number is 10/15/2013 and was last updated on 10/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	ME 115004	FLORIDA	No
2	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	ME 115004	FLORIDA	Yes

What is NPI?

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This page was last updated on: 5/5/2024

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