Psychiatric Associates, Pa | |
1543 Kingsley Ave Bldg 14 Orange Park FL 32073-4535 | |
(904) 264-6977 | |
(904) 269-0870 |
Full Name | Psychiatric Associates, Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1543 Kingsley Ave, Orange Park, Florida |
Authorized Official Name and Position | James Lionel Larson (PRESIDENT) |
Authorized Official Contact | 9042646977 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychiatric Associates, Pa 1543 Kingsley Ave Bldg 14 Orange Park FL 32073-4535 Ph: (904) 264-6977 | Psychiatric Associates, Pa 1543 Kingsley Ave Bldg 14 Orange Park FL 32073-4535 Ph: (904) 264-6977 |
NPI Number | 1023039161 |
---|---|
Provider Enumeration Date | 07/22/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023039161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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