Gerald L Todoroff, Psyd, Pa | |
5465 Commercial Way Spring Hill FL 34606-1110 | |
(352) 597-5497 | |
Not Available |
Full Name | Gerald L Todoroff, Psyd, Pa |
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Speciality | Psychologist |
Location | 5465 Commercial Way, Spring Hill, Florida |
Authorized Official Name and Position | Gerald L Todoroff (OWNER) |
Authorized Official Contact | 3525975497 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gerald L Todoroff, Psyd, Pa 5465 Commercial Way Spring Hill FL 34606-1110 Ph: (352) 597-5497 | Gerald L Todoroff, Psyd, Pa 5465 Commercial Way Spring Hill FL 34606-1110 Ph: (352) 597-5497 |
NPI Number | 1497022875 |
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Provider Enumeration Date | 11/29/2011 |
Last Update Date | 11/29/2011 |
Medicare PECOS PAC ID | 8921273723 |
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Medicare Enrollment ID | O20111206000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497022875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (Florida) | Primary |
Provider Name | Gerald Lee Todoroff |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1033129804 PECOS PAC ID: 5294900098 Enrollment ID: I20111206000487 |
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