Organization
PROFESSIONAL PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELBA FLORES (PRACTICE MANAGER)
(407) 734-1273
Entity
Organization
Contact information
Practice address
5449 S SEMORAN BLVD STE 20, ORLANDO, FL 32822-1778
(407) 734-1273
Mailing address
8614 BRACKENWOOD DR, ORLANDO, FL 32829-8628
(787) 645-7302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
6722
PR
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
FL
Other
Enumeration date
10/20/2005
Last updated
02/04/2026
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