# VISTA BEHAVIORAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1558767376
- **Authorized official:** MUHAMMAD ALI MD (PRESIDENT)
- **Authorized official phone:** (813) 390-7586

## Contact information

- **Practice address:** 2718 LETAP CT UNIT 101, LAND O LAKES, FL 34638-7266
- **Practice address phone:** (813) 475-4196
- **Practice address fax:** (813) 475-4794
- **Mailing address:** 10607 CAYMAN ISLE CT, TAMPA, FL 33647-3372
- **Mailing address phone:** (813) 390-7586
- **Mailing address fax:** (813) 475-4794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME98572 | FL | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 05/19/2020