| Gale Community Services L.l.c. | |
|
2454 E Michigan St Ste 110 Orlando FL 32806-5059 | |
| (863) 591-6556 | |
| Not Available |
| Full Name | Gale Community Services L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2454 E Michigan St Ste 110, Orlando, Florida |
| Authorized Official Name and Position | Amber Popovitz-gale (PSYCHOLOGIST/CO-OWNER) |
| Authorized Official Contact | 4023694835 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gale Community Services L.l.c. 6100 Lake Ellenor Drive Ste 151 #1271 Orlando FL 32809 Ph: (863) 581-6556 | Gale Community Services L.l.c. 2454 E Michigan St Ste 110 Orlando FL 32806-5059 Ph: (863) 591-6556 |
| NPI Number | 1265113237 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 4183087828 |
|---|---|
| Medicare Enrollment ID | O20230829003189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265113237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Amber Popovitz-gale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881142644 PECOS PAC ID: 9335522028 Enrollment ID: I20220812001195 |
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