| Volusia Psychiatry, Inc | |
|
450 W State Road 434 Longwood FL 32750-5187 | |
| (386) 299-3393 | |
| Not Available |
| Full Name | Volusia Psychiatry, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 450 W State Road 434, Longwood, Florida |
| Authorized Official Name and Position | Bassam A Amawi (OWNER) |
| Authorized Official Contact | 3862993393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volusia Psychiatry, Inc 450 W State Road 434 Longwood FL 32750-5187 Ph: (386) 299-3393 | Volusia Psychiatry, Inc 450 W State Road 434 Longwood FL 32750-5187 Ph: (386) 299-3393 |
| NPI Number | 1295053585 |
|---|---|
| Provider Enumeration Date | 05/11/2010 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295053585 | NPI | - | NPPES |
| 2592282 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME50613 (Florida) | Primary |
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