| North Florida Cares, Inc. | |
|
1535 Killearn Center Blvd Ste C-5 Tallahassee FL 32309-3467 | |
| (850) 656-1192 | |
| (850) 386-1300 |
| Full Name | North Florida Cares, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1535 Killearn Center Blvd, Tallahassee, Florida |
| Authorized Official Name and Position | Angela L. Henderson (OWNER/LEAD PSYCHOLOGIST) |
| Authorized Official Contact | 8506561192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Cares, Inc. 3111 Mahan Dr Ste 20 Pmb-2110 Tallahassee FL 32308-5511 Ph: (850) 656-1192 | North Florida Cares, Inc. 1535 Killearn Center Blvd Ste C-5 Tallahassee FL 32309-3467 Ph: (850) 656-1192 |
| NPI Number | 1497290407 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Medicare PECOS PAC ID | 2961786397 |
|---|---|
| Medicare Enrollment ID | O20170303000878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497290407 | NPI | - | NPPES |
| 767622100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7246 (Florida) | Primary |
| Provider Name | Angela L Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174758999 PECOS PAC ID: 7214074657 Enrollment ID: I20091016000444 |
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