Provider Demographics
NPI:1215358551
Name:MILLENIA PSYCHIATRY & RESEARCH, INC.
Entity Type:Organization
Organization Name:MILLENIA PSYCHIATRY & RESEARCH, INC.
Other - Org Name:ALI A. KASHFI M.D., P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROMEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMZEHLOUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-637-7100
Mailing Address - Street 1:5323 MILLENIA LAKES BLVD STE 121
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-3393
Mailing Address - Country:US
Mailing Address - Phone:407-830-0773
Mailing Address - Fax:407-830-1366
Practice Address - Street 1:5323 MILLENIA LAKES BLVD STE 121
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-3393
Practice Address - Country:US
Practice Address - Phone:407-830-0773
Practice Address - Fax:407-830-1366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFP477AMedicare UPIN