Lake Mary Psychiatric Services Llc

NPI 1285679902 - Specialist - 174400000X

NPI Details
NPI 1285679902
Enumeration Date 06/17/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MANUEL R. MANUEL
Position PSYCHIATRIC/MEDICAL DIRECTOR
Phone (407) 330-5818
Fax (407) 330-5820
Practice Location
101 TIMBERLACHEN CIR
SUITE 201
LAKE MARY FL, 32746-6124, US
Phone (407) 330-5818
Fax (407) 330-5820
Business Location
101 TIMBERLACHEN CIR
SUITE 201
LAKE MARY FL, 32746-6124, US
Phone (407) 330-5818
Fax (407) 330-5820
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME-82747
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According to our database, Lake Mary Psychiatric Services Llc NPI is 1285679902, taxonomy code is 174400000X and license number is ME-82747, license state is located at Florida. Lake Mary Psychiatric Services Llc physically located at 101 Timberlachen Cir, Lake Mary FL, 32746-6124. NPI Number 1033115704 has the healthcare provider type.

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1285679902 NPI number is provided on an as is basis without warranty of any kind. 1285679902 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Mary Psychiatric Services Llc are for informational purposes only.