Organization
PSYCHIATRY SERVICES OF OSCEOLA LLC
Active
Parent organization
PSYCHIATRY SERVICES OF OSCEOLA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHIATRY SERVICES OF OSCEOLA LLC
Authorized official
WILLIAM TEDRICK JOHNSON (VICE PRESIDENT)
(615) 372-3375
Entity
Organization
Contact information
Practice address
810 N ROSE AVE, KISSIMMEE, FL 34741-4944
(407) 847-0113
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 372-5426
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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