| Aet Of Central Florida Of Schaeffer & Henderson, P.a. | |
|
1515 E Silver Springs Blvd Suite 112 Ocala FL 34470-6831 | |
| (352) 732-3333 | |
| (352) 732-2469 |
| Full Name | Aet Of Central Florida Of Schaeffer & Henderson, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1515 E Silver Springs Blvd, Ocala, Florida |
| Authorized Official Name and Position | Daniel Henderson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3527323333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aet Of Central Florida Of Schaeffer & Henderson, P.a. Po Box 2854 Ocala FL 34478-2854 Ph: (352) 732-3333 | Aet Of Central Florida Of Schaeffer & Henderson, P.a. 1515 E Silver Springs Blvd Suite 112 Ocala FL 34470-6831 Ph: (352) 732-3333 |
| NPI Number | 1366454308 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 06/13/2008 |
| Medicare PECOS PAC ID | 9032379466 |
|---|---|
| Medicare Enrollment ID | O20120322000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366454308 | NPI | - | NPPES |
| 24184 | Other | FL | BCBS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daniel J Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720096340 PECOS PAC ID: 5597939660 Enrollment ID: I20111130000022 |
| Provider Name | Gary E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033257076 PECOS PAC ID: 5597925933 Enrollment ID: I20120322000320 |
| Provider Name | Jennifer Anne Mc Intyre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063185544 PECOS PAC ID: 6103222914 Enrollment ID: I20210902000871 |
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