| Spccsmdbrandon Inc | |
|
207 W Morgan St Brandon FL 33510-4429 | |
| (813) 244-1251 | |
| Not Available |
| Full Name | Spccsmdbrandon Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 207 W Morgan St, Brandon, Florida |
| Authorized Official Name and Position | Samuel Mario Difranco (FOUNDER/ PRESIDENT) |
| Authorized Official Contact | 8132441251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spccsmdbrandon Inc 431 Manns Harbor Dr Apollo Beach FL 33572-3314 Ph: (813) 244-1251 | Spccsmdbrandon Inc 207 W Morgan St Brandon FL 33510-4429 Ph: (813) 244-1251 |
| NPI Number | 1679223531 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679223531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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