| Mark Radulich, LCSW | |
|
2018 Rudder Dr, Valrico, FL 33594-4429 | |
| (813) 447-9519 | |
| Not Available |
| Full Name | Mark Radulich |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 2018 Rudder Dr, Valrico, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790527588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW9741 (Florida) | Primary |
| Entity Name | Brave Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821588674 PECOS PAC ID: 8123458981 Enrollment ID: O20200417001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Radulich, LCSW 2018 Rudder Dr, Valrico, FL 33594-4429 Ph: (813) 447-9519 | Mark Radulich, LCSW 2018 Rudder Dr, Valrico, FL 33594-4429 Ph: (813) 447-9519 |
Enid D Zamora, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 807 Rocky Mountain Ct, Valrico, FL 33594 Phone: 787-549-9899 | |
Mrs. Teri Marie Claassen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2003 Wexford Green Dr, Valrico, FL 33594 Phone: 317-945-4653 | |
Heather Kisgen Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4902 Carleigh Ln, Valrico, FL 33596 Phone: 205-393-0315 | |
Tisheila Sharee Justice, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2429 Arborwood Dr, Valrico, FL 33596 Phone: 813-400-3743 | |
Sara Colorato, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4215 Balington Dr, Valrico, FL 33596 Phone: 813-485-4818 | |
Shannon B Hickie, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4134 Spring Way Cir, Valrico, FL 33596 Phone: 813-446-8755 | |
Mrs. Ellouise Eileen Williams, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4316 New River Hills Pkwy, Valrico, FL 33596 Phone: 813-240-3948 Fax: 813-643-4908 |