Organization
AMERI MINDCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMARAO MAKKENA MD (PSYCHIATRIST)
(407) 932-2799
Entity
Organization
Contact information
Practice address
3389 W VINE ST, SUITE 304, KISSIMMEE, FL 34741-4665
(407) 932-2799
(407) 932-0303
Mailing address
3389 W VINE ST, SUITE 304, KISSIMMEE, FL 34741-4665
(407) 932-2799
(407) 932-0303
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME93520
FL
2084P0804X
Child & Adolescent Psychiatry Physician
ME93520
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009151600
—
FL
01
—
38008
BCBS
FL
Enumeration date
08/04/2008
Last updated
10/31/2013
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