| Central Florida Geriatric Psychiatry Inc | |
|
425 W Colonial Dr Suite 302 Orlando FL 32804-6863 | |
| (407) 362-5459 | |
| (407) 362-5472 |
| Full Name | Central Florida Geriatric Psychiatry Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 425 W Colonial Dr, Orlando, Florida |
| Authorized Official Name and Position | Luis Allen (PRESIDENT) |
| Authorized Official Contact | 4073625459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Geriatric Psychiatry Inc Po Box 940578 Maitland FL 32794-0578 Ph: (407) 362-5459 | Central Florida Geriatric Psychiatry Inc 425 W Colonial Dr Suite 302 Orlando FL 32804-6863 Ph: (407) 362-5459 |
| NPI Number | 1609191956 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 01/21/2011 |
| Medicare PECOS PAC ID | 3375673544 |
|---|---|
| Medicare Enrollment ID | O20100615000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609191956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
| Provider Name | Luis Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720035058 PECOS PAC ID: 2163574146 Enrollment ID: I20090722000670 |
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