| Sandy Support Services Llc | |
|
981 E Eau Gallie Blvd Ste E 6000 Melbourne FL 32937 | |
| (321) 270-8310 | |
| Not Available |
| Full Name | Sandy Support Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 981 E Eau Gallie Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Sandra Devoe (LCSW/MGR) |
| Authorized Official Contact | 3212708310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Support Services Llc 981 E Eau Gallie Blvd Ste E 6000 Melbourne FL 32937 Ph: (321) 270-8310 | Sandy Support Services Llc 981 E Eau Gallie Blvd Ste E 6000 Melbourne FL 32937 Ph: (321) 270-8310 |
| NPI Number | 1538899273 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 06/15/2022 |
| Certification Date | 06/15/2022 |
| Medicare PECOS PAC ID | 3971983784 |
|---|---|
| Medicare Enrollment ID | O20220710000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538899273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra Leigh Devoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437561289 PECOS PAC ID: 1153678339 Enrollment ID: I20220710000071 |
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