Provider Demographics
NPI:1639852361
Name:PSYCHIATRIC ASSOCIATES OF FLORIDA PLLC
Entity Type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF FLORIDA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-314-7648
Mailing Address - Street 1:780 FIFTH AVE S STE 200
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6632
Mailing Address - Country:US
Mailing Address - Phone:239-359-4393
Mailing Address - Fax:201-568-8105
Practice Address - Street 1:780 FIFTH AVE S STE 200
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6632
Practice Address - Country:US
Practice Address - Phone:239-359-4393
Practice Address - Fax:201-568-8105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty