| Semoran Treatment Center | |
|
5001 East Dunes Hwy Gary IN 46403 | |
| (219) 938-4651 | |
| (219) 938-9210 |
| Full Name | Semoran Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5001 East Dunes Hwy, Gary, Indiana |
| Authorized Official Name and Position | Maria Jackson (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Semoran Treatment Center 2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | Semoran Treatment Center 5001 East Dunes Hwy Gary IN 46403 Ph: (219) 938-4651 |
| NPI Number | 1841412996 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/04/2022 |
| Medicare PECOS PAC ID | 5799118402 |
|---|---|
| Medicare Enrollment ID | O20191211001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841412996 | NPI | - | NPPES |
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