NPI 1306971130 · live from the CMS NPI Registry
Atlantic Psychiatric, L.L.C
Psychiatry & Neurology, Neurology in South Daytona, FL. National Provider Identifier 1306971130, active.
NPI record
| NPI | 1306971130 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 719 Beville Rd, South Daytona, FL 32119 |
| Practice phone | 386-304-3444 |
| Mailing address | Po Box 290849, Port Orange, FL 32129 |
| Enumerated | February 22, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Sandi Widmaier, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | ME56967 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.