Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Florida Psychiatric Association, Inc

Organization Psychiatry Physician · NPI 1558798405

Northeast Florida Psychiatric Association, Inc provides Psychiatry Physician services 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

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