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General NPI Number Information
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NPI Number | 1457221764
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Entity Type | Organization
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Legal Business Name | ORLANDO PREMIER PSYCHIATRY LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 121 S ORANGE AVE STE 920
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City | ORLANDO
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State | FL
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Zip | 32801-3234
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Country | US
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Telephone | 814-441-2408
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Fax |
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Provider Business Mailing Address
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Address Line | 121 S ORANGE AVE STE 920
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City | ORLANDO
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State | FL
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Zip | 32801-3234
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Country | US
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Telephone | 407-610-1774
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Fax | 407-610-1775
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Authorized Official
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Title or Position | OWNER/MGR
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Name | MR. ZACHARY MILLER
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Credential | PHD
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Telephone | 386-986-6498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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