Atlantic Psychiatric PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME56967 Issued in FL

Legal business name

ATLANTIC PSYCHIATRIC PA

Practice address

719 Beville Rd
South Daytona, FL 32119-1823

Phone

(386) 304-3444

Fax

(386) 304-3403

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Winters, M.D.

Title

Partner

Phone

(386) 304-3444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1578609749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290849",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321290849",
            "telephone_number": "386-304-3444",
            "fax_number": "386-304-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 BEVILLE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321191823",
            "telephone_number": "386-304-3444",
            "fax_number": "386-304-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PSYCHIATRIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "386-304-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME56967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlantic Psychiatric, L.L.C
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• Axiom Labs LLC
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• Back in Balance Chiropractic and Day Spa, LLC

• Psychiatry Physician in South Daytona, FL
• Providers in South Daytona, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.