MEDICARE: BAY HILL PSYCHIATRIC ASSOCIATES 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	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568627701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY HILL PSYCHIATRIC ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2869 WILSHIRE DR STE 203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-3282
Country	:	US
Telephone Number	:	407-903-9696
Fax Number	:	407-903-9698

Provider Business Practice Location Address
First Line	:	2869 WILSHIRE DR STE 203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-3282
Country	:	US
Telephone Number	:	407-903-9696
Fax Number	:	407-903-9698

Authorized Official
Title or Position	:	CEO
Name	:	DR. SYEDA N SULTANA
Credential	:	M.D.
Telephone Number	:	407-903-9696

Provider Enumeration Date	:	07/28/2008
Last Update Date	:	06/15/2020

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Directions to “BAY HILL PSYCHIATRIC ASSOCIATES LLC ” Practice Location

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