Individual
DR. LOUIS ROBERTO BISONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 846-0023
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
PN5189468
FL
2084P0800X
Psychiatry Physician
Primary
TRN42144
FL
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
PN5189468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119095700
—
FL
Enumeration date
01/09/2023
Last updated
05/22/2025
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