Volusia Psychiatry & Tms Pllc | |
575 N Clyde Morris Blvd Ste A Daytona Beach FL 32114-2323 | |
(321) 355-7377 | |
(800) 930-4957 |
Full Name | Volusia Psychiatry & Tms Pllc |
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Speciality | Psychiatry & Neurology |
Location | 575 N Clyde Morris Blvd Ste A, Daytona Beach, Florida |
Authorized Official Name and Position | Riaz Rahman (CEO) |
Authorized Official Contact | 3214439924 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Volusia Psychiatry & Tms Pllc 646 Hills Blvd Port Orange FL 32127-2902 Ph: (321) 443-9924 | Volusia Psychiatry & Tms Pllc 575 N Clyde Morris Blvd Ste A Daytona Beach FL 32114-2323 Ph: (321) 355-7377 |
NPI Number | 1982276655 |
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Provider Enumeration Date | 07/13/2021 |
Last Update Date | 07/13/2021 |
Certification Date | 07/13/2021 |
Medicare PECOS PAC ID | 2769871086 |
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Medicare Enrollment ID | O20211108001699 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982276655 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Riaz Rahman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20040511000362 |
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