Provider Demographics
NPI:1891302899
Name:COMPASSIONATE CARE PSYCHIATRY LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:FARMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:407-619-1260
Mailing Address - Street 1:465 S ORLANDO AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-5634
Mailing Address - Country:US
Mailing Address - Phone:407-619-1260
Mailing Address - Fax:407-679-4732
Practice Address - Street 1:1717 GULFVIEW DR
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6375
Practice Address - Country:US
Practice Address - Phone:407-619-1260
Practice Address - Fax:407-679-4732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-24
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty