| Psychiatric Associates. P.a. | |
|
1543 Kingsley Ave Ste 14 Orange Park FL 32073-4570 | |
| (904) 264-6977 | |
| (904) 269-0870 |
| Full Name | Psychiatric Associates. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1543 Kingsley Ave Ste 14, Orange Park, Florida |
| Authorized Official Name and Position | Lanah W Larson (SECRETARY, PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9042646977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Associates. P.a. 1543 Kingsley Ave Ste 14 Orange Park FL 32073-4570 Ph: (904) 264-6977 | Psychiatric Associates. P.a. 1543 Kingsley Ave Ste 14 Orange Park FL 32073-4570 Ph: (904) 264-6977 |
| NPI Number | 1255740767 |
|---|---|
| Provider Enumeration Date | 08/08/2014 |
| Last Update Date | 08/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255740767 | NPI | - | NPPES |
| 25939900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Florida) | Primary |
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