Organization
TRICOUNTY TELE BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA QADIR MD (PRESIDENT)
(407) 803-4016
Entity
Organization
Contact information
Practice address
501 N ORLANDO AVE, SUITE 313-185, WINTER PARK, FL 32789-7313
(407) 803-4016
(407) 803-4045
Mailing address
101 E MILLER ST, ORLANDO, FL 32806-2123
(407) 803-4016
(407) 803-4045
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME62388
FL
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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