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NPI 1134818495

NPI 1134818495 : INSIGHT PSYCHIATRY OF FLORIDA : MIDDLEBURG, FL

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General NPI Number Information
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    NPI Number           |    1134818495
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSIGHT PSYCHIATRY OF FLORIDA 
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Dates
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    Enumeration Date     |    05/03/2023
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    Last Update Date     |    04/25/2025
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Provider Practice Location Address
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    Address Line         |    1638 CORSAIR LN STE 301 
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    City                 |    MIDDLEBURG
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    State                |    FL
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    Zip                  |    32068-8560
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    Country              |    US
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    Telephone            |    904-274-1423
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    Fax                  |    904-339-9813
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Provider Business Mailing Address
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    Address Line         |    1638 CORSAIR LN STE 301 
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    City                 |    MIDDLEBURG
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    State                |    FL
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    Zip                  |    32068-8560
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    Country              |    US
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    Telephone            |    904-274-1423
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    Fax                  |    904-339-9813
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Authorized Official
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    Title or Position    |    PMHNP-BC
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    Name                 |     BRITTANY  WILSON 
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    Credential           |    PMHNP-BC
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    Telephone            |    904-274-1423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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