Provider Demographics
NPI:1134818495
Name:INSIGHT PSYCHIATRY OF FLORIDA
Entity type:Organization
Organization Name:INSIGHT PSYCHIATRY OF FLORIDA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:904-274-1423
Mailing Address - Street 1:1638 CORSAIR LN STE 301
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8560
Mailing Address - Country:US
Mailing Address - Phone:904-274-1423
Mailing Address - Fax:904-339-9813
Practice Address - Street 1:1638 CORSAIR LN STE 301
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8560
Practice Address - Country:US
Practice Address - Phone:904-274-1423
Practice Address - Fax:904-339-9813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1386203818Medicaid