# ORLANDO PEDIATRIC PSYCHIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558606442
- **Authorized official:** DR. AFTAB QADIR M.D. (MANAGER)
- **Authorized official phone:** (407) 246-6620

## Contact information

- **Practice address:** 1505 E MICHIGAN ST, ORLANDO, FL 32806-4818
- **Practice address phone:** (407) 246-6620
- **Practice address fax:** (407) 203-2851
- **Mailing address:** 101 E MILLER ST, ORLANDO, FL 32806-2123
- **Mailing address phone:** (407) 246-6620
- **Mailing address fax:** (407) 246-6621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME62388 | FL | Yes |

## Other

- **Enumeration date:** 12/03/2012
- **Last updated:** 12/03/2012
