PSYCHIATRIC GROUP OF ORLANDO PA
Psychiatric at Alafaya Trl, Orlando, FL

License number
Florida ME85057
Category
Psychiatric
Type
Psychiatry
Owner
Name: MR. ALI EL MENSHAWI MD
Title: PRESIDENT
Phone: (407) 733-4314
Address
Address
422 SOUTH Alafaya Trl SUITE 17, Orlando, FL 32828
National Provider ID: 1134130768
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PSYCHIATRIC GROUP OF ORLANDO, PA

Orlando, FL

Status:
Inactive
Inactive reason:
AMENDMENT
Registration:
Jul 14, 2003
Inactive since:
Sep 6, 2011
Addresses:
422 S Alafaya Trl STE 17, Orlando, FL 32828 (Physical)
2749 Rainbow Spg Ln, Orlando, FL 32828 (Mailing)
State ID:
P03000078361
Business type:
Florida Profit Corporation
Directors:
Ali El-Menshawi (Director), 2749 Rainbow Spg Ln, Orlando, FL 32828 (Physical),Aysha Meloukheia (Director), 2749 Rainbow Spg Ln, Orlando, FL 32828 (Physical)
Agent:
El-Menshawi, Ali,2749 Rainbow Spg Ln, Orlando, FL 32828 (Physical)
EIN:
20-0116459

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