MID-FLORIDA PSYCHIATRY CENTER PL NPI 1376599472

NPI Information

NPI: 1376599472
Provider Name: MID-FLORIDA PSYCHIATRY CENTER PL
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
2504 SAND MINE RD
DAVENPORT, FL
ZIP 33897
Phone: (863) 419-7645
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MID-FLORIDA PSYCHIATRY CENTER PL is a mental health (including community mental health center) clinic center in Davenport, FL. MID-FLORIDA PSYCHIATRY CENTER PL NPI is 1376599472. The provider is registered as an organization entity type.

The provider's business location address is:

2504 SAND MINE RD
DAVENPORT, FL
ZIP 33897-402
Phone: (863) 419-7645

The provider's authorized official is Vidyasagar Reddy Vangala .
The authorized official title is Manager Member and has the following contact phone number (863) 419-7645.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/22/2010.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	ME82811	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	79180	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

NPI Synchronization or Removal

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