| Bay Hill Psychiatric Associates Llc | |
|
2869 Wilshire Dr Ste 203 Orlando FL 32835-3282 | |
| (407) 903-9696 | |
| (407) 903-9698 |
| Full Name | Bay Hill Psychiatric Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2869 Wilshire Dr Ste 203, Orlando, Florida |
| Authorized Official Name and Position | Syeda N Sultana (CEO) |
| Authorized Official Contact | 4079039696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Hill Psychiatric Associates Llc 2869 Wilshire Dr Ste 203 Orlando FL 32835-3282 Ph: (407) 903-9696 | Bay Hill Psychiatric Associates Llc 2869 Wilshire Dr Ste 203 Orlando FL 32835-3282 Ph: (407) 903-9696 |
| NPI Number | 1568627701 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 5496924847 |
|---|---|
| Medicare Enrollment ID | O20110802000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568627701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Syeda Sultana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164553467 PECOS PAC ID: 0840469292 Enrollment ID: I20110802000044 |
| Provider Name | Valencia Sylveus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750896080 PECOS PAC ID: 0840674305 Enrollment ID: I20220901000106 |
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