| Systemic Innovations, Llc | |
|
406 Lake Howell Rd Maitland FL 32751-5907 | |
| (407) 691-3960 | |
| (407) 691-3961 |
| Full Name | Systemic Innovations, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 406 Lake Howell Rd, Maitland, Florida |
| Authorized Official Name and Position | Julie D Eberwein (OWNER) |
| Authorized Official Contact | 4076913960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Systemic Innovations, Llc 406 Lake Howell Rd Maitland FL 32751-5907 Ph: (407) 691-3960 | Systemic Innovations, Llc 406 Lake Howell Rd Maitland FL 32751-5907 Ph: (407) 691-3960 |
| NPI Number | 1568872372 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568872372 | NPI | - | NPPES |
| 001116400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH9903 (Florida) | Primary |
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