Provider Demographics
NPI:1497380687
Name:FLORIDA VIRTUAL PSYCHIATRIC SERVICES
Entity Type:Organization
Organization Name:FLORIDA VIRTUAL PSYCHIATRIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HANS
Authorized Official - Middle Name:
Authorized Official - Last Name:BELIARD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-273-8370
Mailing Address - Street 1:15462 SW 176TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-6749
Mailing Address - Country:US
Mailing Address - Phone:786-273-8370
Mailing Address - Fax:786-408-7476
Practice Address - Street 1:15462 SW 176TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-6749
Practice Address - Country:US
Practice Address - Phone:786-273-8370
Practice Address - Fax:786-408-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty