| Laverne M Kalafor | |
|
7018 Us Highway 301 N Ellenton FL 34222-3030 | |
| (941) 720-5732 | |
| (941) 417-2371 |
| Full Name | Laverne M Kalafor |
|---|---|
| Speciality | Social Worker |
| Location | 7018 Us Highway 301 N, Ellenton, Florida |
| Authorized Official Name and Position | Laverne Marie Kalafor (OWNER/MANAGER) |
| Authorized Official Contact | 9427205732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laverne M Kalafor 7018 Us Highway 301 N Ellenton FL 34222-3030 Ph: (941) 720-5732 | Laverne M Kalafor 7018 Us Highway 301 N Ellenton FL 34222-3030 Ph: (941) 720-5732 |
| NPI Number | 1649719519 |
|---|---|
| Provider Enumeration Date | 02/13/2017 |
| Last Update Date | 03/21/2024 |
| Certification Date | 03/21/2024 |
| Medicare PECOS PAC ID | 8325478829 |
|---|---|
| Medicare Enrollment ID | O20200424000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649719519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11640 (Florida) | Primary |
| Provider Name | Laverne M Kalafor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881025914 PECOS PAC ID: 2062635030 Enrollment ID: I20140520000526 |
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