Organization · NPI-2
Psychiatric Consultants Of Central Florida, LLC
Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry · Kissimmee, FL
NPI number1174951891
StatusActive
Last updated in NPPESOct 15, 2013
Details
- NPI
- 1174951891
- Entity type
- Organization (NPI-2)
- Legal business name
- Psychiatric Consultants Of Central Florida, LLC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2013
- Last updated
- Oct 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | ME 115004 | FL | Yes |
| 2084P0805X | ME 115004 | FL |
Practice location
3389 W Vine StSuite 304
Kissimmee, FL 34741-4665
Phone 407-962-7449 · Fax 407-563-5491
Mailing address
3389 W Vine StSuite 304
Kissimmee, FL 34741-4665
Phone 407-962-7449 · Fax 407-563-5491
Authorized official
Ajith Kumar Potluri
Owner
4079627449
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