| Justine Healan Inc | |
|
1412 Park Shore Cir Apt 2 Fort Myers FL 33901-9626 | |
| (239) 910-3290 | |
| Not Available |
| Full Name | Justine Healan Inc |
|---|---|
| Speciality | Social Worker |
| Location | 1412 Park Shore Cir Apt 2, Fort Myers, Florida |
| Authorized Official Name and Position | Justine Healan (PRESIDENT) |
| Authorized Official Contact | 2399103290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Justine Healan Inc 1412 Park Shore Cir Apt 2 Fort Myers FL 33901-9626 Ph: (239) 910-3290 | Justine Healan Inc 1412 Park Shore Cir Apt 2 Fort Myers FL 33901-9626 Ph: (239) 910-3290 |
| NPI Number | 1376969253 |
|---|---|
| Provider Enumeration Date | 03/14/2014 |
| Last Update Date | 03/14/2014 |
| Medicare PECOS PAC ID | 0547484891 |
|---|---|
| Medicare Enrollment ID | O20140606001961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376969253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW6172 (Florida) | Primary |
| Provider Name | Justine Healan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952736753 PECOS PAC ID: 0345147658 Enrollment ID: I20031216000023 |
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