| Susan Weissmann, Llc | |
|
831 W Morse Blvd Winter Park FL 32789-3708 | |
| (407) 474-9978 | |
| Not Available |
| Full Name | Susan Weissmann, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 831 W Morse Blvd, Winter Park, Florida |
| Authorized Official Name and Position | Susan Weissmann (OWNER) |
| Authorized Official Contact | 4074749978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Weissmann, Llc 1759 Cocoplum Ct Longwood FL 32779-2702 Ph: (407) 474-9978 | Susan Weissmann, Llc 831 W Morse Blvd Winter Park FL 32789-3708 Ph: (407) 474-9978 |
| NPI Number | 1588082861 |
|---|---|
| Provider Enumeration Date | 04/02/2014 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 3870725633 |
|---|---|
| Medicare Enrollment ID | O20140409000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588082861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW3974 (Florida) | Primary |
| Provider Name | Susan Weissmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285600163 PECOS PAC ID: 9335271220 Enrollment ID: I20100712000483 |
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