| Nefesh Psychiatry Llc | |
|
139 Executive Cir Ste 104 Daytona Beach FL 32114-7102 | |
| (386) 400-3077 | |
| Not Available |
| Full Name | Nefesh Psychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 139 Executive Cir Ste 104, Daytona Beach, Florida |
| Authorized Official Name and Position | Zuzana Segev (PRACTICE OWNER) |
| Authorized Official Contact | 3864003077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nefesh Psychiatry Llc 2662 Lpga Blvd # 707 Daytona Beach FL 32124-1008 Ph: (386) 400-3077 | Nefesh Psychiatry Llc 139 Executive Cir Ste 104 Daytona Beach FL 32114-7102 Ph: (386) 400-3077 |
| NPI Number | 1235845744 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/27/2023 |
| Medicare PECOS PAC ID | 0547632093 |
|---|---|
| Medicare Enrollment ID | O20230209000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235845744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Zuzana Segev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497155741 PECOS PAC ID: 2961623822 Enrollment ID: I20141020000519 |
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