| Imi Ola | |
|
3955 Fooshe Ave Micco FL 32976-2940 | |
| (808) 646-1497 | |
| Not Available |
| Full Name | Imi Ola |
|---|---|
| Speciality | Psychologist |
| Location | 3955 Fooshe Ave, Micco, Florida |
| Authorized Official Name and Position | Stephanie Napoli (OWNER, LICENSED CLINICAL PSYCHOLOGI) |
| Authorized Official Contact | 8086461497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imi Ola 3955 Fooshe Ave Micco FL 32976-2940 Ph: (808) 646-1497 | Imi Ola 3955 Fooshe Ave Micco FL 32976-2940 Ph: (808) 646-1497 |
| NPI Number | 1154033660 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 06/01/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154033660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |