Organization
LAKE NONA PSYCHIATRIC ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GANPAT MD (OWNER)
(917) 605-0645
Entity
Organization
Contact information
Practice address
8511 ADALINA PL, ORLANDO, FL 32827-7277
(917) 605-0645
Mailing address
8511 ADALINA PL, ORLANDO, FL 32827-7277
(917) 605-0645
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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