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

Northeast Florida Psychiatric Association, Inc

Organization Psychiatry Physician · NPI 1558798405

Northeast Florida Psychiatric Association, Inc is a Psychiatry Physician in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

804 Dunlawton Ave Ste 1
Port Orange, FL 32127-4931
Phone: (386) 767-8584
Fax: (386) 767-8536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence ME73316 (FL)

Record details

NPI number1558798405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Frick — Owner · (386) 767-8584
NPI enumeratedOctober 7, 2013
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address804 Dunlawton Ave Ste 1, Port Orange, FL 32127-4931

Other providers in Port Orange