MEDICARE: OPHELIA MEDICAL GROUP FL, P.A.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
2	2084P0800X	Psychiatry Physician
3	207QA0401X	Addiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1588244750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPHELIA MEDICAL GROUP FL, P.A.

Provider Business Mailing Address
First Line	:	228 PARK AVE S STE 15314
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-1502
Country	:	US
Telephone Number	:	215-585-2144
Fax Number	:	267-780-7032

Provider Business Practice Location Address
First Line	:	161 CECIL B MOORE AVE APT 204
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-3243
Country	:	US
Telephone Number	:	215-585-2144
Fax Number	:	267-780-7032

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. ARTHUR R WILLIAMS
Credential	:
Telephone Number	:	215-585-2144

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	03/03/2026

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