| Carmen I Tozzo Pa | |
|
630 N Main St Williston FL 32696-1705 | |
| (352) 529-2570 | |
| (352) 529-2570 |
| Full Name | Carmen I Tozzo Pa |
|---|---|
| Speciality | Psychologist |
| Location | 630 N Main St, Williston, Florida |
| Authorized Official Name and Position | Carmen I Tozzo (PRESIDENT) |
| Authorized Official Contact | 3523182339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen I Tozzo Pa Po Box 817 Williston FL 32696-0817 Ph: (352) 318-2339 | Carmen I Tozzo Pa 630 N Main St Williston FL 32696-1705 Ph: (352) 529-2570 |
| NPI Number | 1659620409 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 10/28/2015 |
| Medicare PECOS PAC ID | 1850540311 |
|---|---|
| Medicare Enrollment ID | O20120927000581 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659620409 | NPI | - | NPPES |
| 009252000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5911 (Florida) | Primary |
| Provider Name | Carmen I Tozzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104915313 PECOS PAC ID: 5799749883 Enrollment ID: I20041118000172 |
Choicesfla Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17030 Nw 162nd Ter, Williston, FL 32696 Phone: 352-441-4373 |