Healthcare Provider Details

I. General information

NPI: 1891609087
Provider Name (Legal Business Name): BOILINI PSYCHIATRIC CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W OAK ST
KISSIMMEE FL
34741-4924
US

IV. Provider business mailing address

13737 BEHRING AVE
ORLANDO FL
32827-3813
US

V. Phone/Fax

Practice location:
  • Phone: 407-476-4725
  • Fax: 407-987-3483
Mailing address:
  • Phone: 407-476-4725
  • Fax: 407-987-3483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: HENRY ALEXANDER BOILINI
Title or Position: OWNER
Credential: MD
Phone: 407-476-4725