| Emergen, Inc. | |
|
2431 Aloma Ave Winter Park FL 32792-2541 | |
| (407) 739-7603 | |
| Not Available |
| Full Name | Emergen, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2431 Aloma Ave, Winter Park, Florida |
| Authorized Official Name and Position | Cedric Maddox (CEO) |
| Authorized Official Contact | 4077397603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergen, Inc. 30 Chaney Ct Casselberry FL 32707-4531 Ph: () - | Emergen, Inc. 2431 Aloma Ave Winter Park FL 32792-2541 Ph: (407) 739-7603 |
| NPI Number | 1699176842 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 0941744478 |
|---|---|
| Medicare Enrollment ID | O20240626000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699176842 | NPI | - | NPPES |
| Provider Name | Wesley Neal Seabolt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962664623 PECOS PAC ID: 3971787151 Enrollment ID: I20220629002860 |
| Provider Name | Cedric Maddox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487943411 PECOS PAC ID: 0840734380 Enrollment ID: I20240626001442 |
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