| Patmos Health Care Llc | |
|
10151 University Blvd Orlando FL 32817-1904 | |
| (816) 516-7114 | |
| (816) 761-1899 |
| Full Name | Patmos Health Care Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10151 University Blvd, Orlando, Florida |
| Authorized Official Name and Position | Craig Erisman (PRESIDENT) |
| Authorized Official Contact | 8165167114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patmos Health Care Llc 2900 Sw 13th St Lees Summit MO 64081-3800 Ph: (816) 516-7114 | Patmos Health Care Llc 10151 University Blvd Orlando FL 32817-1904 Ph: (816) 516-7114 |
| NPI Number | 1184995441 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184995441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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