| Florida Aging Mental Health Llc | |
|
5827 Oak Bridge Ct Bradenton FL 34211-1734 | |
| (352) 208-0284 | |
| Not Available |
| Full Name | Florida Aging Mental Health Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5827 Oak Bridge Ct, Bradenton, Florida |
| Authorized Official Name and Position | Christopher Anthony Wilcox (LCSW CONSULTANT) |
| Authorized Official Contact | 3522080284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Aging Mental Health Llc 10210 Marsh Harbor Way Apt 6 Riverview FL 33578 Ph: (352) 208-0284 | Florida Aging Mental Health Llc 5827 Oak Bridge Ct Bradenton FL 34211-1734 Ph: (352) 208-0284 |
| NPI Number | 1922523497 |
|---|---|
| Provider Enumeration Date | 08/07/2017 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Medicare PECOS PAC ID | 7719398437 |
|---|---|
| Medicare Enrollment ID | O20201215002462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922523497 | NPI | - | NPPES |
| Provider Name | Christopher Anthony Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891229712 PECOS PAC ID: 6507139524 Enrollment ID: I20170913001040 |
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