OrganizationActive
Medical & Psychiatric Insitiute of Florida, Inc.
NPI 1205278454 · Forensic Psychiatry Physician · Port Orange, FL
Provider details
- NPI number
- 1205278454
- Entity type
- Organization
- Primary specialty
- Forensic Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Asad Khan, Owner(304) 216-4000
- License
- ME114528 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6056 Central Park Blvd
Port Orange, FL 32127-9539
Phone: (304) 216-4000
Fax: (386) 676-2555
Street-level locationGet directions
Mailing address
927 Beville Rd Ste 7
South Daytona, FL 32119-1769
Registry dates
- Enumerated
- 2013-07-29
- Last updated
- 2014-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.