Northeast Florida Psychiatric Association, Inc
LBN: Northeast Florida Psychiatric Association, Inc
Northeast Florida Psychiatric Association, Inc is an health care organization with primary practice located at 790 Dunlawton Ave Suite J, Port Orange FL 32127-4222. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty.
Northeast Florida Psychiatric Association, Inc can be contacted via phone (386) 767-8584, or through Frick, Gary W via phone (386) 767-8584.
Contact Information
Primary practice address
790 Dunlawton Ave Suite J
Port Orange FL 32127-4222
Phone: (386) 767-8584
Fax: (386) 767-8536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME73316 | Florida |
Profile Details
| NPI number | 1558798405 |
|---|---|
| LBN Legal business name | Northeast Florida Psychiatric Association, Inc |
| DBA Doing business as | |
| Authorized official | Frick, Gary W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 7th, 2013 |
| Last updated | Apr 10th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558798405 | NPPES |
| Florida | MEDICAID | 2526671-00 |
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