| Atlantic Psychiatric, L.l.c | |
|
719 Beville Rd South Daytona FL 32119-1823 | |
| (386) 304-3444 | |
| (386) 304-3403 |
| Full Name | Atlantic Psychiatric, L.l.c |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 719 Beville Rd, South Daytona, Florida |
| Authorized Official Name and Position | Sandi D Widmaier (OFFICE MANAGER) |
| Authorized Official Contact | 3863043444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Psychiatric, L.l.c Po Box 290849 Port Orange FL 32129-0849 Ph: (386) 304-3444 | Atlantic Psychiatric, L.l.c 719 Beville Rd South Daytona FL 32119-1823 Ph: (386) 304-3444 |
| NPI Number | 1306971130 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306971130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME56967 (Florida) | Primary |
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