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NPI Code Detail

MEDICARE: ADVANCED PSYCHIATRIC GROUP, PA

MEDICARE: ADVANCED PSYCHIATRIC GROUP, PA
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
1101YM0800XMental Health Counselor
2251S00000XCommunity/Behavioral Health Agency
32084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianFL

General Provider Information

NPI Number : 1316016637
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PSYCHIATRIC GROUP, PA
Provider Business Mailing Address
First Line : 736 N. MAGNOLIA AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3809
Country : US
Telephone Number : 407-423-7149
Fax Number : 407-422-0470
Provider Business Practice Location Address
First Line : 736 N. MAGNOLIA AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32803-3809
Country : US
Telephone Number : 407-423-7149
Fax Number : 407-422-0470
Authorized Official
Title or Position : CFO
Name : DR. HEIDI M NADJAFI
Credential : DBA
Telephone Number : 407-423-7149
Provider Enumeration Date : 11/08/2006
Last Update Date : 12/17/2025

Similar Medicare Providers

1942431184 — SASHA L. GRIFFIN RN, NP
Practice Location Address:
736 N MAGNOLIA AVE
ORLANDO, FL
32803-3809
Practice Phone: 407-423-7149
Practice Fax: 407-422-0470
1184612426 — JEFFREY HOWARD NARD MD
Practice Location Address:
736 N MAGNOLIA AVE
ORLANDO, FL
32803-3809
Practice Phone: 407-423-7149
Practice Fax: 407-422-0470
1639126246 — FRANK BODENMILLER LMHC
Practice Location Address:
736 N MAGNOLIA AVE
ORLANDO, FL
32803-3809
Practice Phone: 407-423-7149
Practice Fax: 407-422-0470
1912954660 — DR. MORTEZA NADJAFI M.D.
Practice Location Address:
736 N MAGNOLIA AVE
ORLANDO, FL
32803-3809
Practice Phone: 407-423-7149
Practice Fax: 407-422-0470
1831136118 — MRS. PAMELA ROSE BADZINSKI ARNP, MSN, FNP-BC
Practice Location Address:
736 N MAGNOLIA AVE
ORLANDO, FL
32803-3809
Practice Phone: 407-423-7149
Practice Fax: 407-422-0470
1639113871 — MS. VICKY QUINTANILLA LCSW-CAP
Practice Location Address:
736 N.MAGNOLIA AVE , ADVANCED PSYCHIATRIC GROUP, P.A.
ORLANDO, FL
32803-3809
Practice Phone: 407-423-7149
Practice Fax: 407-422-0470

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