Elite Emdr Llc | |
2657 Nectarine Rd Deland FL 32724-3011 | |
(732) 569-4594 | |
Not Available |
Full Name | Elite Emdr Llc |
---|---|
Speciality | Social Worker |
Location | 2657 Nectarine Rd, Deland, Florida |
Authorized Official Name and Position | Angela Mastropiero (LCSW/OWNER) |
Authorized Official Contact | 7325694594 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elite Emdr Llc 2657 Nectarine Rd Deland FL 32724-3011 Ph: (732) 569-4594 | Elite Emdr Llc 2657 Nectarine Rd Deland FL 32724-3011 Ph: (732) 569-4594 |
NPI Number | 1538828249 |
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Provider Enumeration Date | 12/09/2021 |
Last Update Date | 12/09/2021 |
Certification Date | 12/09/2021 |
Medicare PECOS PAC ID | 1052702875 |
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Medicare Enrollment ID | O20220104002942 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538828249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Angela Marie Mastropiero |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922639731 PECOS PAC ID: 8729485685 Enrollment ID: I20210921001288 |
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