Sma Healthcare Inc | |
105 W Calvin St Deland FL 32720-7403 | |
(800) 539-4228 | |
Not Available |
Full Name | Sma Healthcare Inc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 105 W Calvin St, Deland, Florida |
Authorized Official Name and Position | Ivan 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) 236-3215 | Sma Healthcare Inc 105 W Calvin St Deland FL 32720-7403 Ph: (800) 539-4228 |
NPI Number | 1497428080 |
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Provider Enumeration Date | 07/29/2021 |
Last Update Date | 07/29/2021 |
Certification Date | 07/29/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497428080 | NPI | - | NPPES |
060311213 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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