Sma Healthcare Inc | |
702 S Ridgewood Ave Daytona Beach FL 32114-5332 | |
(800) 539-4228 | |
Not Available |
Full Name | Sma Healthcare Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 702 S Ridgewood Ave, Daytona Beach, Florida |
Authorized Official Name and Position | Ivan Cosimi (CEO/PRESIDENT) |
Authorized Official Contact | 3862361811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sma Healthcare Inc 150 Magnolia Ave Daytona Beach FL 32114-4304 Ph: (800) 539-4228 | Sma Healthcare Inc 702 S Ridgewood Ave Daytona Beach FL 32114-5332 Ph: (800) 539-4228 |
NPI Number | 1053065060 |
---|---|
Provider Enumeration Date | 02/08/2022 |
Last Update Date | 02/08/2022 |
Certification Date | 01/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053065060 | NPI | - | NPPES |
060311208 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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