| Florida Mentor | |
|
3200 Sw 34th Ave Building 200 #203 Ocala FL 34474-7456 | |
| (352) 624-2197 | |
| (239) 352-6242 |
| Full Name | Florida Mentor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3200 Sw 34th Ave, Ocala, Florida |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Mentor 313 Congress St Boston MA 02210-1218 Ph: (800) 388-5150 | Florida Mentor 3200 Sw 34th Ave Building 200 #203 Ocala FL 34474-7456 Ph: (352) 624-2197 |
| NPI Number | 1124145891 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 03/04/2023 |
| Certification Date | 03/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124145891 | NPI | - | NPPES |
| 075741100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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