Organization
PHYSICIANS COLLABORATIVE AFFILIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCCO CONIGLIO (PRESIDENT)
(330) 523-0593
Entity
Organization
Contact information
Practice address
101 E MILLER ST, ORLANDO, FL 32806-2123
(407) 803-4016
(407) 803-4045
Mailing address
501 N ORLANDO AVE, SUITE 313, PMB 185, WINTER PARK, FL 32789-7313
(407) 803-4016
(407) 803-4045
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
Other
Enumeration date
10/23/2015
Last updated
08/17/2023
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