| Professional Psychiatric Services, Llc | |
|
5449 S Semoran Blvd Ste 20 Orlando FL 32822-1778 | |
| (407) 734-1273 | |
| Not Available |
| Full Name | Professional Psychiatric Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5449 S Semoran Blvd Ste 20, Orlando, Florida |
| Authorized Official Name and Position | Elba Flores (PRACTICE MANAGER) |
| Authorized Official Contact | 4077341273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychiatric Services, Llc 8614 Brackenwood Dr Orlando FL 32829-8628 Ph: (787) 645-7302 | Professional Psychiatric Services, Llc 5449 S Semoran Blvd Ste 20 Orlando FL 32822-1778 Ph: (407) 734-1273 |
| NPI Number | 1679562797 |
|---|---|
| Provider Enumeration Date | 10/20/2005 |
| Last Update Date | 02/04/2026 |
| Certification Date | 02/04/2026 |
| Medicare PECOS PAC ID | 4981901444 |
|---|---|
| Medicare Enrollment ID | O20160328001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679562797 | NPI | - | NPPES |
| Provider Name | Nellie O'farrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710934492 PECOS PAC ID: 8325044613 Enrollment ID: I20151029002739 |
| Provider Name | Concepcion Barreto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932236601 PECOS PAC ID: 9133411531 Enrollment ID: I20160705001812 |
| Provider Name | Jose E Piovanetti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851382881 PECOS PAC ID: 1355613340 Enrollment ID: I20170825002656 |
| Provider Name | Luis H Negron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043343676 PECOS PAC ID: 7315176658 Enrollment ID: I20180509002639 |
| Provider Name | Abimael Rivera Garcia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164450664 PECOS PAC ID: 6709783194 Enrollment ID: I20190215001418 |
| Provider Name | Carmen R Lauzurique Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598089229 PECOS PAC ID: 0648409508 Enrollment ID: I20200803001592 |
| Provider Name | Miguel Torres Narvaez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255913554 PECOS PAC ID: 6305254541 Enrollment ID: I20210428000540 |
| Provider Name | Latrece N Athouriste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154885929 PECOS PAC ID: 7416358601 Enrollment ID: I20230418001406 |
| Provider Name | Desiree Marie Garcia Rivera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235685215 PECOS PAC ID: 6204290679 Enrollment ID: I20240110003694 |
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