| Lake Nona Psychiatric Associates, Llc | |
|
8511 Adalina Pl Orlando FL 32827-7277 | |
| (917) 605-0645 | |
| Not Available |
| Full Name | Lake Nona Psychiatric Associates, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 8511 Adalina Pl, Orlando, Florida |
| Authorized Official Name and Position | Peter Ganpat (OWNER) |
| Authorized Official Contact | 9176050645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Nona Psychiatric Associates, Llc 8511 Adalina Pl Orlando FL 32827-7277 Ph: (917) 605-0645 | Lake Nona Psychiatric Associates, Llc 8511 Adalina Pl Orlando FL 32827-7277 Ph: (917) 605-0645 |
| NPI Number | 1326602566 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326602566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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