Organization
ORLANDO PSYCHIATRIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHASKAR N RAJU M.D. (MANAGER)
(407) 694-2875
Entity
Organization
Contact information
Practice address
2345 SAND LAKE RD, SUITE 200, ORLANDO, FL 32809-9142
(407) 694-2875
Mailing address
PO BOX 714, WINDERMERE, FL 34786-0714
(407) 694-2875
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME91130
FL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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