| Sma Healthcare Inc | |
|
1220 Willis Ave (internal Box 69) Daytona Beach FL 32114-2810 | |
| (386) 236-1660 | |
| (386) 236-3178 |
| Full Name | Sma Healthcare Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1220 Willis Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | Ivan A Cosimi (CEO) |
| 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: (386) 236-3225 | Sma Healthcare Inc 1220 Willis Ave (internal Box 69) Daytona Beach FL 32114-2810 Ph: (386) 236-1660 |
| NPI Number | 1154526556 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 07/29/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154526556 | NPI | - | NPPES |
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