| The Winter Park Center For Psychiatry And Wellness Llc | |
|
1555 Howell Branch Rd. Suite B-4 Winter Park FL 32789-1171 | |
| (407) 644-2121 | |
| (407) 644-2974 |
| Full Name | The Winter Park Center For Psychiatry And Wellness Llc |
|---|---|
| Speciality | Psychoanalyst |
| Location | 1555 Howell Branch Rd., Winter Park, Florida |
| Authorized Official Name and Position | Richard L Jones (CEO) |
| Authorized Official Contact | 4076442121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Winter Park Center For Psychiatry And Wellness Llc 1555 Howell Branch Rd. Suite B-4 Winter Park FL 32789-1171 Ph: (407) 644-2121 | The Winter Park Center For Psychiatry And Wellness Llc 1555 Howell Branch Rd. Suite B-4 Winter Park FL 32789-1171 Ph: (407) 644-2121 |
| NPI Number | 1801064894 |
|---|---|
| Provider Enumeration Date | 02/13/2008 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801064894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 102L00000X | Psychoanalyst | L07000109809 (Florida) | Primary |
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