Organization
NOVA PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ANTONIO MEDINA MD (PRESIDENT)
(407) 894-6980
Entity
Organization
Contact information
Practice address
1836 WOODWARD ST, ORLANDO, FL 32803-4256
(407) 883-9303
(407) 641-9566
Mailing address
438 N CAPEN AVE, WINTER PARK, FL 32789-3013
(407) 883-9303
(407) 641-9566
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005481100
—
FL
Enumeration date
07/12/2013
Last updated
01/26/2026
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