Provider Demographics
NPI:1639438302
Name:ADVANCED PSYCHIATRIC CARE, PC
Entity type:Organization
Organization Name:ADVANCED PSYCHIATRIC CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHEER
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:952-240-4552
Mailing Address - Street 1:9400 GLADIOLUS DR STE 340
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-9622
Mailing Address - Country:US
Mailing Address - Phone:239-935-5599
Mailing Address - Fax:239-313-5614
Practice Address - Street 1:9400 GLADIOLUS DR STE 340
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-9622
Practice Address - Country:US
Practice Address - Phone:239-935-5599
Practice Address - Fax:239-313-5614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-15
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN260002641Medicare UPIN