Psychiatric Affiliates, P.a. | |
2300 Maitland Center Pkwy Suite 230 Maitland FL 32751-4129 | |
(407) 679-6400 | |
(407) 679-7988 |
Full Name | Psychiatric Affiliates, P.a. |
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Speciality | Psychiatry & Neurology |
Location | 2300 Maitland Center Pkwy, Maitland, Florida |
Authorized Official Name and Position | Jeffrey A Danziger (PRESIDENT) |
Authorized Official Contact | 4076796400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychiatric Affiliates, P.a. 2300 Maitland Center Pkwy Suite 230 Maitland FL 32751-4129 Ph: (407) 679-6400 | Psychiatric Affiliates, P.a. 2300 Maitland Center Pkwy Suite 230 Maitland FL 32751-4129 Ph: (407) 679-6400 |
NPI Number | 1922272848 |
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Provider Enumeration Date | 04/22/2008 |
Last Update Date | 04/22/2008 |
Medicare PECOS PAC ID | 2769412196 |
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Medicare Enrollment ID | O20050816000611 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922272848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | ME49703 (Florida) | Primary |
Provider Name | Jeffrey A Danziger |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881732196 PECOS PAC ID: 1456381888 Enrollment ID: I20120120000206 |
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