NPI 1679856199

Florida Psychiatric Associates LLC

Organisation Psychoanalyst Maitland, FL

Practice location

Address: 166 Lookout Pl Suite 100, Maitland, FL 32751-4496
Phone: (407) 960-5633
Fax: (407) 960-5635
Mailing address: PO Box 940953, Maitland, FL 32794-0953

Authorised official

Name: Anne Fatima Mian
Title: Owner
Phone: (407) 342-3709

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X Licence ME68974 (FL)

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Registry record

NPI: 1679856199
Entity type: Organization
NPI issued: 21 Sep 2011
Record last updated: 30 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.