| Semper Motis Llc | |
|
1317 Edgewater Dr Ste 4399 Orlando FL 32804-6350 | |
| (757) 818-0499 | |
| (800) 813-1916 |
| Full Name | Semper Motis Llc |
|---|---|
| Speciality | Counselor |
| Location | 1317 Edgewater Dr Ste 4399, Orlando, Florida |
| Authorized Official Name and Position | Hart Meyrich (OFFICE MANAGER) |
| Authorized Official Contact | 4073409039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Semper Motis Llc 112 S Rhodes St Mount Dora FL 32757-6116 Ph: (757) 818-0499 | Semper Motis Llc 1317 Edgewater Dr Ste 4399 Orlando FL 32804-6350 Ph: (757) 818-0499 |
| NPI Number | 1861125965 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/06/2022 |
| Certification Date | 07/06/2022 |
| Medicare PECOS PAC ID | 4183063738 |
|---|---|
| Medicare Enrollment ID | O20240416003100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861125965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Janell Royster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497206023 PECOS PAC ID: 2163861618 Enrollment ID: I20240416003308 |
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