Brandon Psychiatric Group Llc

LBN: Brandon Psychiatric Group Llc
Brandon Psychiatric Group Llc is an health care organization with primary practice located at 106 W Windhorst Rd , Brandon FL 33510-2455. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, which is considered as the primary health care specialty. Brandon Psychiatric Group Llc can be contacted via phone (678) 923-6025, or through Mikhail, Hany Botros via phone (678) 923-6025.

Contact Information

Primary practice address
106 W Windhorst Rd Brandon FL 33510-2455
Phone: (678) 923-6025
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mikhail, Hany Botros Doctor of Medicine (MD)
Phone: (678) 923-6025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 95351 Florida

Profile Details

NPI number 1952710147
LBN Legal business name Brandon Psychiatric Group Llc
DBA Doing business as
Authorized official Mikhail, Hany Botros Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2014
Last updated Feb 6th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952710147 NPPES
Florida MEDICAID 275940302

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