ADVANCED PSYCHIATRIC GROUP PA NPI 1316016637

NPI Information

ADVANCED PSYCHIATRIC GROUP, PA is an addiction medicine psychiatry neurology in Orlando, FL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine ADVANCED PSYCHIATRIC GROUP, PA NPI is 1316016637. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

736 N. MAGNOLIA AVE
ORLANDO, FL
ZIP 32803-809
Phone: (407) 423-7149
Fax: (407) 422-0470

The provider's authorized official is Heidi M Nadjafi .
The authorized official title is Cfo and has the following contact phone number (407) 423-7149.

The CLIA number assigned to this NPI record is 10D2057755 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 4/29/2009.

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:

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