Florida Center For Brain And Mind, Llc | |
134 N Ridgewood Dr Ste 15 Sebring FL 33870-7200 | |
(863) 658-0151 | |
(772) 202-6042 |
Full Name | Florida Center For Brain And Mind, Llc |
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Speciality | Clinical Neuropsychologist |
Location | 134 N Ridgewood Dr Ste 15, Sebring, Florida |
Authorized Official Name and Position | Judith Horvath (MANAGER) |
Authorized Official Contact | 8636580151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Florida Center For Brain And Mind, Llc 134 N Ridgewood Dr Ste 15 Sebring FL 33870-7200 Ph: (863) 658-0151 | Florida Center For Brain And Mind, Llc 134 N Ridgewood Dr Ste 15 Sebring FL 33870-7200 Ph: (863) 658-0151 |
NPI Number | 1609211044 |
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Provider Enumeration Date | 04/29/2013 |
Last Update Date | 04/30/2013 |
Medicare PECOS PAC ID | 8325288202 |
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Medicare Enrollment ID | O20130717000788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609211044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | PY8325 (Florida) | Primary |
103TC0700X | Psychologist - Clinical | PY8325 (Florida) | Secondary |
Provider Name | Judith H Horvath |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1861421091 PECOS PAC ID: 7719173871 Enrollment ID: I20120511000266 |
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