Organization
FLORIDA PSYCHIATRIC ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE FATIMA MIAN M.D. (OWNER)
(407) 342-3709
Entity
Organization
Contact information
Practice address
166 LOOKOUT PL, SUITE 100, MAITLAND, FL 32751-4496
(407) 960-5633
(407) 960-5635
Mailing address
PO BOX 940953, MAITLAND, FL 32794-0953
(407) 969-5633
(407) 960-5635
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
ME68974
FL
Other
Enumeration date
09/21/2011
Last updated
07/30/2014
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