Organization
REGA MENTAL HEALTH CENTER, LLC
Active
Parent organization
REGA MENTAL HEALTH CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGA MENTAL HEALTH CENTER LLC
Authorized official
RICARDO ESPAILLAT MD (OWNER)
(954) 346-8300
Entity
Organization
Contact information
Practice address
2601 W LAKE MARY BLVD STE 113, LAKE MARY, FL 32746-3567
(407) 328-1005
(407) 328-1020
Mailing address
7501 WILES RD STE 105, CORAL SPRINGS, FL 33067-2063
(954) 346-8300
(954) 346-8303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC8227
AHCA LICENSE
FL
Enumeration date
09/22/2021
Last updated
09/06/2023
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