| Psychiatry Services Of Osceola Llc | |
|
810 N Rose Ave Kissimmee FL 34741-4944 | |
| (407) 847-0113 | |
| Not Available |
| Full Name | Psychiatry Services Of Osceola Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 810 N Rose Ave, Kissimmee, Florida |
| Authorized Official Name and Position | William Tedrick Johnson (VICE PRESIDENT) |
| Authorized Official Contact | 6153723375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Services Of Osceola Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 372-5426 | Psychiatry Services Of Osceola Llc 810 N Rose Ave Kissimmee FL 34741-4944 Ph: (407) 847-0113 |
| NPI Number | 1760146575 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760146575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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