MEDICARE: MARVEL PSYCHIATRIC PLLC

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1982567996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARVEL PSYCHIATRIC PLLC

Provider Business Mailing Address
First Line	:	7940 WANDERING WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-6893
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1277 N SEMORAN BLVD STE 103
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32807-3573
Country	:	US
Telephone Number	:	469-915-4211
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SEHER SHAIKH
Credential	:
Telephone Number	:	469-915-4211

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	04/29/2026

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