Organization
PSYCHIATRY SERVICES OF OSCEOLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DILALLA (VICE PRESIDENT)
(603) 531-2657
Entity
Organization
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 847-0113
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
06/20/2024
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