Organization
PSYCHIATRIC ASSOCIATES OF LAKE CITY PA
Active
Other names
UMESH M MHATRE MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHILPA U. MHATRE (OFFICE MANAGER)
(386) 755-1800
Entity
Organization
Contact information
Practice address
165 SW VISION GLENN, LAKE CITY, FL 32025-1111
(386) 755-1800
(386) 758-8770
Mailing address
165 SW VISION GLENN, LAKE CITY, FL 32025-1111
(386) 755-1800
(386) 758-8770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0027561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01251
BC BS OF FL
FL
05
—
037553500
—
FL
01
—
083097
MHN
FL
01
—
264574342
CHAMPUS TRICARE
FL
01
—
406263894
RAIL ROAD MEDICARE
FL
01
—
ME 0027561
FLORIDA LICENSE
FL
Enumeration date
01/12/2007
Last updated
02/14/2012
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