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

Imam Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1114750338

Imam Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Debary, Florida. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

466 Woodford Dr
Debary, FL 32713-2145
Phone: (813) 580-0163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1114750338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muhammad Imam — Ceo/Owner · (813) 580-0163
NPI enumeratedAugust 22, 2024
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address466 Woodford Dr, Debary, FL 32713-2145

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