BURGUNDY PRIME INC NPI 1720557150

NPI Information

  • NPI: 1720557150
  • Provider Name: BURGUNDY PRIME INC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 430 WAYMONT CT STE 100
    LAKE MARY, FL
    ZIP 32746
  • Phone: (407) 878-0022

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NPI Details

BURGUNDY PRIME INC is a psychiatry psychiatry neurology in Lake Mary, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BURGUNDY PRIME INC NPI is 1720557150. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

430 WAYMONT CT STE 100
LAKE MARY, FL
ZIP 32746-745
Phone: (407) 878-0022
Fax: (407) 369-4267

The provider's authorized official is Abid Malik .
The authorized official title is President and has the following contact phone number (407) 777-8084.

The enumeration date for this NPI number is 11/14/2018 and was last updated on 11/14/2018.

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
1207R00000XInternal MedicineNo
2207RI0200XInternal MedicineInfectious DiseaseNo
32084A0401XPsychiatry & NeurologyAddiction MedicineNo
42084B0002XPsychiatry & NeurologyObesity MedicineNo
52084S0012XPsychiatry & NeurologySleep MedicineNo
62084P0015XPsychiatry & NeurologyPsychosomatic MedicineNo
72084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 3/30/2025

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