Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlantic Psychiatric, LLC

Organization Neurology Physician · NPI 1306971130

Atlantic Psychiatric, LLC is a Neurology Physician in South Daytona, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

719 Beville Rd
South Daytona, FL 32119-1823
Phone: (386) 304-3444
Fax: (386) 304-3403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME56967 (FL)

Record details

NPI number1306971130
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandi Widmaier — Office Manager · (386) 304-3444
NPI enumeratedFebruary 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 290849, Port Orange, FL 32129-0849

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