| |
2500 Discovery Drive Orlando FL 32826-3709 | |
(407) 281-7000 | |
(407) 282-7012 |
Full Name | |
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Speciality | Psychiatric Hospital |
Location | 2500 Discovery Drive, Orlando, Florida |
Authorized Official Name and Position | Steve Filton (SR VP CFO) |
Authorized Official Contact | 6107683300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2500 Discovery Drive Orlando FL 32826-3709 Ph: (407) 281-7000 | 2500 Discovery Drive Orlando FL 32826-3709 Ph: (407) 281-7000 |
NPI Number | 1851395263 |
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Provider Enumeration Date | 06/13/2005 |
Last Update Date | 02/23/2021 |
Certification Date | 02/23/2021 |
Medicare PECOS PAC ID | 3375624885 |
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Medicare Enrollment ID | O20080122000550 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851395263 | NPI | - | NPPES |
360086600 | Other | FL | MEDICAID |
360086616 | Medicaid | FL | |
360086617 | Medicaid | FL |
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