Psychiatry Services of Osceola LLC

NPI #1760146575 in Kissimmee, Florida

Provider Information

NPI Number
1760146575
Entity Type
Organization
Organization Name
Psychiatry Services of Osceola LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PSYCHIATRY SERVICES OF OSCEOLA LLC
Primary Specialty
Psychiatry & Neurology - Psychiatry
Enumeration Date
Oct 27, 2021
Last Updated
Oct 27, 2021

Practice Location

Address
810 N ROSE AVE
State
Florida
ZIP Code
34741-4944
Phone
(407) 847-0113

Authorized Official

Name
WILLIAM TEDRICK JOHNSON
Title
VICE PRESIDENT
Phone
(615) 372-3375

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry

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