Organization
PSYCHIATRIC INNOVATORS OF GREATER ORLANDO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN S KANE M.D. (PRESIDENT)
(407) 862-5707
Entity
Organization
Contact information
Practice address
220 N WESTMONTE DR, SUITE E, ALTAMONTE SPRINGS, FL 32714-3310
(407) 862-5707
(407) 862-5795
Mailing address
220 N WESTMONTE DR, SUITE E, ALTAMONTE SPRINGS, FL 32714-3310
(407) 862-5707
(407) 862-5795
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0040909
FL
Other
Enumeration date
06/18/2008
Last updated
07/10/2008
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