Lake Nona Psychiatric Center, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME83301 Issued in FL

Legal business name

LAKE NONA PSYCHIATRIC CENTER, PA

Practice address

2500 Discovery Dr
Orlando, FL 32826-3709

Phone

(407) 275-2203

Fax

(407) 282-7012

NPI assigned

Jan 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Syed Abbas, MD

Title

Owner

Phone

(407) 275-2203

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1568908267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 CHARDONNAY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325609",
            "telephone_number": "407-275-2203",
            "fax_number": "407-282-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DISCOVERY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263709",
            "telephone_number": "407-275-2203",
            "fax_number": "407-282-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NONA PSYCHIATRIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-275-2203",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME83301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Nona Eye Care, LLC
• Lake Nona Inpatient Services LLC
• Lake Nona Medical Services
• Lake Nona Ophthalmology PL
• Lake Nona Psychiatric Associates, LLC
• Lake Nona Spine Center, Inc.
• Lake Nona Surgery Center, LLC
• Lake Nona Vision Inc
• Joleen Marie Lake, A.P.R.N.
• Leah Lake, CERTIFIED NURSE ASSI

• Psychiatry Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.