MEDICAL & PSYCHIATRIC INSITIUTE OF FLORIDA, INC. (NPI# 1205278454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205278454 |
| Entity Type | Organization |
| Organization Name | MEDICAL & PSYCHIATRIC INSITIUTE OF FLORIDA, INC. |
| Practice Address |
6056 Central Park Blvd Port Orange FL 32127-9539 |
| Mailing Address |
927 Beville Rd Ste 7 South Daytona FL 32119-1769 |
| Practice Telephone | 3042164000 |
| Practice Fax Number | 3866762555 |
| Mailing Telephone | 3862699009 |
| Mailing Fax Number | 3862699004 |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2014-08-19 |
| Authorized Official Name | ASAD KHAN (OWNER) |
| Authorized Official Telephone | 3042164000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
ME114528 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0206560 | 05 | |
| WV | 0116181000 | 05 |
| Street Address |
6056 CENTRAL PARK BLVD |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-9539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487000816 | Barbara Stein | Psychiatry & Neurology | 200 2nd Ave S # 169, St Petersburg, FL 33701-4313 | 2016-05-04 |
| 1518233451 | H. Barry Miller, M.d., P.a. | Psychiatry & Neurology | 3363 Sheridan Street, Suite #210, Hollywood, FL 33021-3658 | 2012-03-26 |
| 1922328228 | Jacqueline E Barrett Md, Pa | Psychiatry & Neurology | 4651 Sheridan St Ste 450, Hollywood, FL 33021-3415 | 2010-06-09 |
| 1144548611 | Family & Forensic Psychiatry | Psychiatry & Neurology | 4965 Sw 91st Ter Ste A, Gainesville, FL 32608-8155 | 2010-05-09 |
| 1629200647 | Asad Hamid Khan | Psychiatry & Neurology | 927 Beville Rd, Suite # 7, South Daytona, FL 32119-1768 | 2009-08-10 |
| 1619160298 | Alan J. Waldman | Psychiatry & Neurology | 2727 Nw 43rd Street, Gainesville, FL 32606 | 2007-08-27 |
| 1497948996 | Ronald M Chase | Psychiatry & Neurology | 32910 Lakeshore Dr, Tavares, FL 32778-5013 | 2007-08-20 |
| 1568668168 | Jacqueline Elaine Barrett | Psychiatry & Neurology | 816 Nw Avenue D, Belle Glade, FL 33430-2904 | 2007-06-21 |
| 1366657694 | David Grippe | Psychiatry & Neurology | 2733 Mount Pleasant Rd, Quincy, FL 32352-6684 | 2007-05-11 |
| 1346467305 | Edward Zawadzki | Psychiatry & Neurology | 248 W Bay Cedar Cir, Jupiter, FL 33458-7123 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.