| Inscape Health Group Llc | |
|
1970 Michigan Ave Bldg E Cocoa FL 32922-5723 | |
| (407) 209-7428 | |
| Not Available |
| Full Name | Inscape Health Group Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1970 Michigan Ave Bldg E, Cocoa, Florida |
| Authorized Official Name and Position | Tamika Selena Haynes Robinson (AUTHORIZED OFFICIAL; PARTNER/OWNER) |
| Authorized Official Contact | 4072097428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inscape Health Group Llc 1970 Michigan Ave Bldg E Cocoa FL 32922-5723 Ph: (407) 209-7428 | Inscape Health Group Llc 1970 Michigan Ave Bldg E Cocoa FL 32922-5723 Ph: (407) 209-7428 |
| NPI Number | 1417548728 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417548728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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