| Sma Healthcare Inc | |
|
1251 N Stone St Deland FL 32720-2584 | |
| (800) 539-4228 | |
| Not Available |
| Full Name | Sma Healthcare Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1251 N Stone 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 1251 N Stone St Deland FL 32720-2584 Ph: (800) 539-4228 |
| NPI Number | 1891461869 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891461869 | NPI | - | NPPES |
| 060311214 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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