| Sma Healthcare Inc | |
|
301 Justice Ln Bunnell FL 32110-4487 | |
| (800) 539-4228 | |
| Not Available |
| Full Name | Sma Healthcare Inc |
|---|---|
| Speciality | Case Management |
| Location | 301 Justice Ln, Bunnell, Florida |
| Authorized Official Name and Position | Ivan Cosimi (CEO) |
| Authorized Official Contact | 3862361811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sma Healthcare Inc 150 Magnolia Ave Daytona Beach FL 32114-4304 Ph: (386) 236-3215 | Sma Healthcare Inc 301 Justice Ln Bunnell FL 32110-4487 Ph: (800) 539-4228 |
| NPI Number | 1598431512 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598431512 | NPI | - | NPPES |
| 100348100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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