| Sara Matos | |
|
1830 W Trade Ln Citrus Springs FL 34434-5525 | |
| (347) 721-1527 | |
| Not Available |
| Full Name | Sara Matos |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1830 W Trade Ln, Citrus Springs, Florida |
| Authorized Official Name and Position | Sara Matos (OWNER) |
| Authorized Official Contact | 3477211527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Matos 1830 W Trade Ln Citrus Springs FL 34434-5525 Ph: (347) 721-1527 | Sara Matos 1830 W Trade Ln Citrus Springs FL 34434-5525 Ph: (347) 721-1527 |
| NPI Number | 1710516885 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710516885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Tara Philcox Limited Liability Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9079 N Dickens Dr, Citrus Springs, FL 34434 Phone: 727-619-6309 Fax: 352-218-7635 |