Organization
YANTRA PSYCHIATRIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSA E NEGRON-MUNOZ MD (MEDICAL DIRECTOR)
(863) 450-3067
Entity
Organization
Contact information
Practice address
6700 S FLORIDA AVE STE 33, LAKELAND, FL 33813-3312
(863) 450-3067
(863) 337-4123
Mailing address
6700 S FLORIDA AVE STE 33, LAKELAND, FL 33813-3312
(863) 450-3067
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME111271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003962200
—
FL
05
—
022279400
—
FL
Enumeration date
06/27/2017
Last updated
04/25/2022
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