| Florida Center For Brain And Mind, Llc | |
|
134 N Ridgewood Dr Ste 15 Sebring FL 33870-7200 | |
| (863) 658-0151 | |
| (772) 202-6042 |
| Full Name | Florida Center For Brain And Mind, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 134 N Ridgewood Dr Ste 15, Sebring, Florida |
| Authorized Official Name and Position | Judith Horvath (MANAGER) |
| Authorized Official Contact | 8636580151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Center For Brain And Mind, Llc 134 N Ridgewood Dr Ste 15 Sebring FL 33870-7200 Ph: (863) 658-0151 | Florida Center For Brain And Mind, Llc 134 N Ridgewood Dr Ste 15 Sebring FL 33870-7200 Ph: (863) 658-0151 |
| NPI Number | 1609211044 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/30/2013 |
| Medicare PECOS PAC ID | 8325288202 |
|---|---|
| Medicare Enrollment ID | O20130717000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609211044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY8325 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY8325 (Florida) | Secondary |
| Provider Name | Judith H Horvath |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861421091 PECOS PAC ID: 7719173871 Enrollment ID: I20120511000266 |
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