| Sma Healthcare Inc | |
|
702 S Ridgewood Ave Daytona Beach FL 32114-5332 | |
| (800) 539-4228 | |
| Not Available |
| Full Name | Sma Healthcare Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 702 S Ridgewood Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Ivan Cosimi (CEO/PRESIDENT) |
| Authorized Official Contact | 3862361811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sma Healthcare Inc 150 Magnolia Ave Daytona Beach FL 32114-4304 Ph: (800) 539-4228 | Sma Healthcare Inc 702 S Ridgewood Ave Daytona Beach FL 32114-5332 Ph: (800) 539-4228 |
| NPI Number | 1053065060 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 02/08/2022 |
| Certification Date | 01/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053065060 | NPI | - | NPPES |
| 060311208 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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