| North Florida Regional Psychiatry, Llc | |
|
1121 Nw 64th Ter Suite B Gainesville FL 32605 | |
| (352) 331-3583 | |
| Not Available |
| Full Name | North Florida Regional Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1121 Nw 64th Ter, Gainesville, Florida |
| Authorized Official Name and Position | William Tedrick Johnson (AO) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Regional Psychiatry, Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 372-5426 | North Florida Regional Psychiatry, Llc 1121 Nw 64th Ter Suite B Gainesville FL 32605 Ph: (352) 331-3583 |
| NPI Number | 1316359383 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 04/16/2021 |
| Certification Date | 04/16/2021 |
| Medicare PECOS PAC ID | 1254550346 |
|---|---|
| Medicare Enrollment ID | O20140923001304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316359383 | NPI | - | NPPES |
| Provider Name | Michael R Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558477752 PECOS PAC ID: 1456318930 Enrollment ID: I20041216000210 |
| Provider Name | Carlos Rafael Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760560999 PECOS PAC ID: 2961547682 Enrollment ID: I20100305000637 |
| Provider Name | Almari Ginory |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265624316 PECOS PAC ID: 8022271386 Enrollment ID: I20120523000720 |
| Provider Name | Sarah Mcmillen Fayad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528225232 PECOS PAC ID: 1759537590 Enrollment ID: I20120809000391 |
| Provider Name | Trina H Webb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336227693 PECOS PAC ID: 1153593660 Enrollment ID: I20151020001382 |
| Provider Name | Steve J Brasington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477523256 PECOS PAC ID: 6406087980 Enrollment ID: I20170323002529 |
| Provider Name | Robert C Eaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528323417 PECOS PAC ID: 3476848763 Enrollment ID: I20170718003313 |
| Provider Name | Dmitri Zouev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770978926 PECOS PAC ID: 3274968722 Enrollment ID: I20200110002251 |
| Provider Name | France M Leandre |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174056964 PECOS PAC ID: 9830590223 Enrollment ID: I20210623000489 |
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