Provider Demographics
NPI:1063905925
Name:FLORIDA MED-PSYCH CONSULTANTS LLC
Entity type:Organization
Organization Name:FLORIDA MED-PSYCH CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:P
Authorized Official - Last Name:AKELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-445-9545
Mailing Address - Street 1:PO BOX 117780
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-7780
Mailing Address - Country:US
Mailing Address - Phone:407-445-9545
Mailing Address - Fax:407-299-9141
Practice Address - Street 1:1507 S HIAWASSEE RD STE 206
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5719
Practice Address - Country:US
Practice Address - Phone:407-445-9545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty