| Orlando Integrative Mental Health Plc | |
|
1485 S Semoran Blvd Bldg 6 Suite 1454 Winter Park FL 32792-5533 | |
| (407) 671-2258 | |
| (407) 671-2675 |
| Full Name | Orlando Integrative Mental Health Plc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1485 S Semoran Blvd Bldg 6, Winter Park, Florida |
| Authorized Official Name and Position | Praveen Chandra Pathak (MANAGING MEMBER) |
| Authorized Official Contact | 4126082576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Integrative Mental Health Plc 1485 S Semoran Blvd Bldg 6 Suite 1454 Winter Park FL 32792-5533 Ph: (407) 671-2258 | Orlando Integrative Mental Health Plc 1485 S Semoran Blvd Bldg 6 Suite 1454 Winter Park FL 32792-5533 Ph: (407) 671-2258 |
| NPI Number | 1346558327 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346558327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME102076 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME102076 (Florida) | Secondary |
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