Provider Demographics
NPI:1487733424
Name:PSYCHIATRIC SVCS OF WINTER PAR
Entity type:Organization
Organization Name:PSYCHIATRIC SVCS OF WINTER PAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-681-6003
Mailing Address - Street 1:2252 WINTER WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1957
Mailing Address - Country:US
Mailing Address - Phone:407-681-6003
Mailing Address - Fax:407-681-6006
Practice Address - Street 1:2252 WINTER WOODS BLVD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1957
Practice Address - Country:US
Practice Address - Phone:407-681-6003
Practice Address - Fax:407-681-6006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty