| Dr. George Emanoilidis | |
|
21 Ryant Blvd Suite 21 Sebring FL 33870-8075 | |
| (863) 243-3198 | |
| Not Available |
| Full Name | Dr. George Emanoilidis |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 21 Ryant Blvd, Sebring, Florida |
| Authorized Official Name and Position | George Emanoilidis (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8632433198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. George Emanoilidis 21 Ryant Blvd Suite 21 Sebring FL 33870-8075 Ph: (863) 243-3198 | Dr. George Emanoilidis 21 Ryant Blvd Suite 21 Sebring FL 33870-8075 Ph: (863) 243-3198 |
| NPI Number | 1245785815 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245785815 | NPI | - | NPPES |
| GN537A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8561 (Florida) | Primary |
| 103TF0200X | Psychologist - Forensic | PY8561 (Florida) | Secondary |
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