| Jenica, Inc. | |
|
1209 E 2nd St Sanford FL 32771-1413 | |
| (407) 792-0900 | |
| (321) 363-4835 |
| Full Name | Jenica, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1209 E 2nd St, Sanford, Florida |
| Authorized Official Name and Position | Jennifer Anne Vestal (PRESIDENT) |
| Authorized Official Contact | 4079239543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenica, Inc. 1209 E 2nd St Sanford FL 32771-1413 Ph: (407) 792-0900 | Jenica, Inc. 1209 E 2nd St Sanford FL 32771-1413 Ph: (407) 792-0900 |
| NPI Number | 1154653251 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 09/06/2023 |
| Certification Date | 02/12/2022 |
| Medicare PECOS PAC ID | 9537686589 |
|---|---|
| Medicare Enrollment ID | O20250505000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154653251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | IMH2491 (Florida) | Primary |
| Provider Name | Jennifer Anne Vestal |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548582646 PECOS PAC ID: 0446777494 Enrollment ID: I20250505000541 |
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