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NPI Code Detail

MEDICARE: MONARCH PSYCHIATRY INC

MEDICARE: MONARCH PSYCHIATRY INC
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist

General Provider Information

NPI Number : 1699517854
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONARCH PSYCHIATRY INC
Provider Business Mailing Address
First Line : 2523 HERSHEL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32208
Country : US
Telephone Number : 407-617-0906
Fax Number : 407-612-1595
Provider Business Practice Location Address
First Line : 2523 HERSCHEL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4509
Country : US
Telephone Number : 407-617-0906
Fax Number : 407-612-1595
Authorized Official
Title or Position : OWNER
Name : DR. RICHARD LAZARUS
Credential : PMHNP
Telephone Number : 407-617-0906
Provider Enumeration Date : 06/10/2024
Last Update Date : 01/12/2026

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