Yantra Psychiatric Services, Inc. | |
6700 S Florida Ave Ste 33 Lakeland FL 33813-3312 | |
(863) 450-3067 | |
(863) 337-4123 |
Full Name | Yantra Psychiatric Services, Inc. |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 6700 S Florida Ave Ste 33, Lakeland, Florida |
Authorized Official Name and Position | Rosa E Negron-munoz (MEDICAL DIRECTOR) |
Authorized Official Contact | 8634503067 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Yantra Psychiatric Services, Inc. 6700 S Florida Ave Ste 33 Lakeland FL 33813-3312 Ph: (863) 450-3067 | Yantra Psychiatric Services, Inc. 6700 S Florida Ave Ste 33 Lakeland FL 33813-3312 Ph: (863) 450-3067 |
NPI Number | 1528588878 |
---|---|
Provider Enumeration Date | 06/27/2017 |
Last Update Date | 04/25/2022 |
Certification Date | 04/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528588878 | NPI | - | NPPES |
003962200 | Medicaid | FL | |
022279400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | ME111271 (Florida) | Primary |
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