Northeast Florida Psychiatric Association, Inc

NPI Provider: 1558798405
Contact Name: FRICK W GARY
Position: PROVIDER
Phone: (386) 767-8584

Northeast Florida Psychiatric Association, Inc Information:

Northeast Florida Psychiatric Association, Inc organization have npi 1558798405, taxonomy code is 2084P0800X with license number is ME73316 in . This Business address located in 790 DUNLAWTON AVE., PORT ORANGE, FL 32127 Florida.

Practice Location
Address: 790 DUNLAWTON AVE, PORT ORANGE, FL 32127
Phone: (386) 767-8584

Business Location
Address: 790 DUNLAWTON AVE., PORT ORANGE, FL 32127
Phone: (386) 767-8584
Fax: (386) 767-8536

Taxonomy

Taxonomy Code: 2084P0800X

License Number: ME73316

License Number of State: FL

Primary Taxonomy Switch: Y

Enumeration Date: 10/7/13

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