| Organization Name: | FHL PSYCHIATRIC SERVICES PLLC |
| NPI Number: | 1245698463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLES SICARD (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 15151 S Us Highway 441 Unit 300 Summerfield |
| State: | FL US |
| Postal Code: | 344914482 |
| Phone Number: | 4072804890 |
| Fax Number: | 8885673781 |
| NPI Enumeration Date: | 02/02/2016 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | ME118567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |