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

Dr. Suraj Modi

Individual provider Psychiatry Physician · NPI 1144756305

Dr. Suraj Modi is a Psychiatry in Longwood, Florida. Qualified in 2017, 9 years ago. Practices with Brave Health Inc, a 113-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

455 W Warren Ave
Longwood, FL 32750-4038
Phone: (407) 262-2220
Fax: (407) 834-5011
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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 ME146061 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1144756305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address455 W Warren Ave, Longwood, FL 32750-4038

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brave Health Inc. — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Longwood