Daniel Emilio Pichardo, | |
19108 E Colonial Dr, Orlando, FL 32820-3701 | |
(407) 905-8827 | |
(407) 905-8998 |
Full Name | Daniel Emilio Pichardo |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 19108 E Colonial Dr, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174156616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | MH20581 (Florida) | Secondary |
101Y00000X | Counselor | IMH19315 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | MH20581 (Florida) | Primary |
Entity Name | Community Health Centers, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134258684 PECOS PAC ID: 4082515390 Enrollment ID: O20040120000172 |
Mailing Address | Practice Location Address |
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Daniel Emilio Pichardo, 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 435-7448 | Daniel Emilio Pichardo, 19108 E Colonial Dr, Orlando, FL 32820-3701 Ph: (407) 905-8827 |
Enrique Vela, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2540 Decker Ave, Orlando, FL 32833 Phone: 407-568-6978 | |
Sheena Allman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr., Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Jaskara L Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Terrence D Woodard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Danielle Henry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Mercy Dr, Suite 302, Orlando, FL 32808 Phone: 407-875-3700 Fax: 407-522-4671 | |
Marissa Janene Mannetta, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7635 Ashley Park Ct Ste 503h, Orlando, FL 32835 Phone: 407-963-4733 Fax: 407-215-9436 | |
Nelson Parra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4446 Andover Cay Blvd, Orlando, FL 32825 Phone: 407-405-8090 |