Inscape Health Group Llc | |
1970 Michigan Ave Bldg E Cocoa FL 32922-5723 | |
(407) 209-7428 | |
Not Available |
Full Name | Inscape Health Group Llc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 1970 Michigan Ave Bldg E, Cocoa, Florida |
Authorized Official Name and Position | Tamika Selena Haynes Robinson (AUTHORIZED OFFICIAL; PARTNER/OWNER) |
Authorized Official Contact | 4072097428 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inscape Health Group Llc 1970 Michigan Ave Bldg E Cocoa FL 32922-5723 Ph: (407) 209-7428 | Inscape Health Group Llc 1970 Michigan Ave Bldg E Cocoa FL 32922-5723 Ph: (407) 209-7428 |
NPI Number | 1417548728 |
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Provider Enumeration Date | 01/29/2021 |
Last Update Date | 01/29/2021 |
Certification Date | 01/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417548728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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