Healthcare Provider Details

I. General information

NPI: 1952513848
Provider Name (Legal Business Name): B & T PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 01/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8751 COMMODITY CIRCLE (3)
ORLANDO FL
32819
US

IV. Provider business mailing address

8751 COMMODITY CIRCLE (3)
ORLANDO FL
32819
US

V. Phone/Fax

Practice location:
  • Phone: 407-226-2777
  • Fax: 407-226-2780
Mailing address:
  • Phone: 407-226-2777
  • Fax: 407-226-2780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME 82520
License Number StateFL

VIII. Authorized Official

Name: RICARDO BERNAL
Title or Position: PSYCHOLOGIST/PROPRIETOR
Credential: MD
Phone: 407-226-2777