Organization
PSYCHIATRIC PROFESSIONAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOUIS BLANKEMEIER MD (OWNER)
(407) 629-6440
Entity
Organization
Contact information
Practice address
2180 N PARK AVE, SUITE 320, WINTER PARK, FL 32789-2358
(407) 629-6440
(407) 629-5766
Mailing address
2180 N PARK AVE, SUITE 320, WINTER PARK, FL 32789-2358
(407) 629-6440
(407) 629-5766
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0050631
FL
Other
Enumeration date
12/19/2006
Last updated
01/16/2008
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