Provider Demographics
NPI:1568151926
Name:PRACTICAL PSYCHIATRIC SOLUTIONS
Entity type:Organization
Organization Name:PRACTICAL PSYCHIATRIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEUTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-616-1663
Mailing Address - Street 1:15985 PRESERVE MARKETPLACE BLVD
Mailing Address - Street 2:#246
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556
Mailing Address - Country:US
Mailing Address - Phone:813-616-1663
Mailing Address - Fax:727-677-0940
Practice Address - Street 1:3634 BENERAID STREET
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638
Practice Address - Country:US
Practice Address - Phone:727-637-9518
Practice Address - Fax:727-677-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-02
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty