| Sc Messam Inc. | |
|
1627 East Vine Street Suite 133 Kissimmee FL 34744 | |
| (407) 201-3209 | |
| (407) 530-4795 |
| Full Name | Sc Messam Inc. |
|---|---|
| Speciality | Case Management |
| Location | 1627 East Vine Street, Kissimmee, Florida |
| Authorized Official Name and Position | Sophia Reynolds (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 4072013209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc Messam Inc. 1627 East Vine Street Suite 133 Kissimmee FL 34744 Ph: (407) 201-3209 | Sc Messam Inc. 1627 East Vine Street Suite 133 Kissimmee FL 34744 Ph: (407) 201-3209 |
| NPI Number | 1659708394 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659708394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 00000000000 (Florida) | Secondary |
| 251B00000X | Case Management | 00000000000 (Florida) | Primary |
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