| Meivis Health Llc | |
|
7232 W Sand Lake Rd Ste 201 Orlando FL 32819-5260 | |
| (407) 351-5660 | |
| (407) 363-6707 |
| Full Name | Meivis Health Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7232 W Sand Lake Rd, Orlando, Florida |
| Authorized Official Name and Position | Leif E Davis (PRESIDENT) |
| Authorized Official Contact | 4073515660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meivis Health Llc 7232 W Sand Lake Rd Ste 201 Orlando FL 32819-5260 Ph: (407) 351-5660 | Meivis Health Llc 7232 W Sand Lake Rd Ste 201 Orlando FL 32819-5260 Ph: (407) 351-5660 |
| NPI Number | 1700963188 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 07/03/2013 |
| Medicare PECOS PAC ID | 8820170194 |
|---|---|
| Medicare Enrollment ID | O20080124000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700963188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6304 (Florida) | Primary |
| Provider Name | Leif Eriksen Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720163835 PECOS PAC ID: 4880788033 Enrollment ID: I20080124000638 |
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