Healthcare Provider Details

I. General information

NPI: 1841475613
Provider Name (Legal Business Name): PSYCH ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2007
Last Update Date: 12/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20820 W DIXIE HWY
MIAMI FL
33180
US

IV. Provider business mailing address

20820 W DIXIE HWY
MIAMI FL
33180
US

V. Phone/Fax

Practice location:
  • Phone: 305-935-3428
  • Fax: 305-935-3955
Mailing address:
  • Phone: 305-935-3428
  • Fax: 305-935-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JUAN B ESPINOSA
Title or Position: SECRETARY
Credential: MD
Phone: 305-935-3344