Lake Mary Psychiatric Services Llc

LBN: Lake Mary Psychiatric Services Llc
Lake Mary Psychiatric Services Llc is an health care organization with primary practice located at 101 Timberlachen Cir Suite 201, Lake Mary FL 32746-6124. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Lake Mary Psychiatric Services Llc can be contacted via phone (407) 330-5818, or through Mota-Castillo, Manuel R. via phone (407) 330-5818.

Contact Information

Primary practice address
101 Timberlachen Cir Suite 201 Lake Mary FL 32746-6124
Fax: (407) 330-5820
Website:
Authorized official contact:
Name: Mota-Castillo, Manuel R. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME-82747 Florida

Profile Details

NPI number 1285679902
LBN Legal business name Lake Mary Psychiatric Services Llc
DBA Doing business as
Authorized official Mota-Castillo, Manuel R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285679902 NPPES
Florida Other 7771009 AETNA
Florida Other 111973343307 AETNA
Florida Other 272693 AETNA
Florida Other 52339 AETNA
Florida Other 543580 AETNA
Florida Other 110962 AETNA

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