MEDICARE: BESTCARE PSYCHIATRY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1275378390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BESTCARE PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	2129 S COMBEE RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-6857
Country	:	US
Telephone Number	:	863-309-5629
Fax Number	:

Provider Business Practice Location Address
First Line	:	2129 S COMBEE RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33801-6857
Country	:	US
Telephone Number	:	863-309-5629
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL OSITADINMA OKEKE
Credential	:	PMHNP-BC
Telephone Number	:	863-309-5629

Provider Enumeration Date	:	06/29/2024
Last Update Date	:	05/23/2026

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