Orlando Integrative Mental Health Plc
Psychiatry Physician in Winter Park, FL(View on Map)
Legal Business Name
Orlando Integrative Mental Health Plc
NPI Number
1346558327
NPI Type
Organization
Enumeration Date
09/23/2010
Specialties
(Taxonomies)Code
2084P0800X
2084P0804X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
ME102076
Contact
Information
Purpose
Mailing
Location
Address
1485 S SEMORAN BLVD BLDG 6
1485 S SEMORAN BLVD BLDG 6
City
Winter Park
Winter Park
State
FL
FL
Postal Code
32792-5533
32792-5533
Country
US
US
Telephone Number
(407) 671-2258
(407) 671-2258
Authorized Official
Name
Dr. Praveen Pathak
Title or Position
MANAGING MEMBER
Telephone Number
(412) 608-2576
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/23/2010
Provider Address
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