| Florida Psychiatric Associates Llc | |
|
166 Lookout Pl Suite 100 Maitland FL 32751-4496 | |
| (407) 960-5633 | |
| (407) 960-5635 |
| Full Name | Florida Psychiatric Associates Llc |
|---|---|
| Speciality | Psychoanalyst |
| Location | 166 Lookout Pl, Maitland, Florida |
| Authorized Official Name and Position | Anne Fatima Mian (OWNER) |
| Authorized Official Contact | 4073423709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Psychiatric Associates Llc Po Box 940953 Maitland FL 32794-0953 Ph: (407) 969-5633 | Florida Psychiatric Associates Llc 166 Lookout Pl Suite 100 Maitland FL 32751-4496 Ph: (407) 960-5633 |
| NPI Number | 1679856199 |
|---|---|
| Provider Enumeration Date | 09/21/2011 |
| Last Update Date | 07/30/2014 |
| Medicare PECOS PAC ID | 7618295155 |
|---|---|
| Medicare Enrollment ID | O20150414001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679856199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | ME68974 (Florida) | Primary |
| Provider Name | Anne Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518910835 PECOS PAC ID: 4688674229 Enrollment ID: I20070105000188 |
| Provider Name | Abid R Mian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083793301 PECOS PAC ID: 1254659790 Enrollment ID: I20150528001124 |
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