Another Answer | |
4316 New River Hills Pkwy Valrico FL 33596-8212 | |
(813) 240-3948 | |
(813) 643-4908 |
Full Name | Another Answer |
---|---|
Speciality | Community/Behavioral Health |
Location | 4316 New River Hills Pkwy, Valrico, Florida |
Authorized Official Name and Position | Ellouise Eileen Williams (PRESIDENT/CEO) |
Authorized Official Contact | 8132403948 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Another Answer 3139 Bent Creek Dr Valrico FL 33596-8290 Ph: (813) 240-3948 | Another Answer 4316 New River Hills Pkwy Valrico FL 33596-8212 Ph: (813) 240-3948 |
NPI Number | 1104004472 |
---|---|
Provider Enumeration Date | 02/08/2008 |
Last Update Date | 08/21/2015 |
Medicare PECOS PAC ID | 7315130598 |
---|---|
Medicare Enrollment ID | O20101020000616 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104004472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SW1624 (Florida) | Primary |
Provider Name | Ellouise E Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528133311 PECOS PAC ID: 3779666581 Enrollment ID: I20080215000519 |
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