| Birches Health Medical Group P A | |
|
100 S Ashley Dr Ste 600 Tampa FL 33602-5300 | |
| (833) 483-3838 | |
| Not Available |
| Full Name | Birches Health Medical Group P A |
|---|---|
| Speciality | Counselor |
| Location | 100 S Ashley Dr Ste 600, Tampa, Florida |
| Authorized Official Name and Position | Elliott Rapaport (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9178438445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Birches Health Medical Group P A 100 S Ashley Dr Ste 600 Tampa FL 33602-5300 Ph: (833) 483-3838 | Birches Health Medical Group P A 100 S Ashley Dr Ste 600 Tampa FL 33602-5300 Ph: (833) 483-3838 |
| NPI Number | 1366292005 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/13/2024 |
| Medicare PECOS PAC ID | 9032652797 |
|---|---|
| Medicare Enrollment ID | O20240621003561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366292005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Candace L Dan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700549391 PECOS PAC ID: 1658814322 Enrollment ID: I20240621003662 |
| Provider Name | Dee Ann Sands |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114097417 PECOS PAC ID: 4981148475 Enrollment ID: I20240625003398 |
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