Healthcare Provider Details

I. General information

NPI: 1518805860
Provider Name (Legal Business Name): STARMARIS ADVANCED PSYCHIATRY CARE ''LLC''
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W COLONIAL DR
ORLANDO FL
32808-7602
US

IV. Provider business mailing address

5000 W COLONIAL DR STE 100
ORLANDO FL
32808-7602
US

V. Phone/Fax

Practice location:
  • Phone: 407-545-1330
  • Fax:
Mailing address:
  • Phone: 407-545-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. IJEOMA MBIONWU
Title or Position: PMHNP
Credential: DNP
Phone: 407-545-1330