| Modern Psychiatry, Pa | |
|
365 Wekiva Springs Rd Ste 231 Longwood FL 32779-3690 | |
| (321) 527-7924 | |
| Not Available |
| Full Name | Modern Psychiatry, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 365 Wekiva Springs Rd Ste 231, Longwood, Florida |
| Authorized Official Name and Position | Felix Aron Geller (OWNER) |
| Authorized Official Contact | 9037211330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychiatry, Pa 23 Woodhaven Rd Toms River NJ 08753-2043 Ph: () - | Modern Psychiatry, Pa 365 Wekiva Springs Rd Ste 231 Longwood FL 32779-3690 Ph: (321) 527-7924 |
| NPI Number | 1225725690 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 4587025721 |
|---|---|
| Medicare Enrollment ID | O20230803002270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225725690 | NPI | - | NPPES |
| Provider Name | Amy White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881142321 PECOS PAC ID: 2860809068 Enrollment ID: I20210407000075 |
| Provider Name | Felix A Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902073216 PECOS PAC ID: 2163672684 Enrollment ID: I20230803002739 |
| Provider Name | Geraldine Dierking |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740521319 PECOS PAC ID: 9830473065 Enrollment ID: I20230803003026 |
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