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NPI Code Detail

MEDICARE: MILLENIA PSYCHIATRY & RESEARCH, INC.

MEDICARE: MILLENIA PSYCHIATRY & RESEARCH, 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
12084P0804XChild & Adolescent Psychiatry PhysicianME21787FL

General Provider Information

NPI Number : 1962786483
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLENIA PSYCHIATRY & RESEARCH, INC.
Provider Business Mailing Address
First Line : 5323 MILLENIA LAKES BLVD
Second Line : #121
City : ORLANDO
State : FL
Zip : 32839-3392
Country : US
Telephone Number : 407-830-0773
Fax Number : 407-830-1366
Provider Business Practice Location Address
First Line : 5323 MILLENIA LAKES BLVD
Second Line : #121
City : ORLANDO
State : FL
Zip : 32839-3392
Country : US
Telephone Number : 407-830-0773
Fax Number : 407-830-1366
Authorized Official
Title or Position : GENERAL MANAGER
Name : MR. ROMEAN HAMZEHLOUI
Credential :
Telephone Number : 407-830-0773
Provider Enumeration Date : 10/03/2011
Last Update Date : 05/20/2014

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Directions to “MILLENIA PSYCHIATRY & RESEARCH, INC. ” Practice Location

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