| Beacon Health, Inc | |
|
2750 Taylor Ave Ste A39 Orlando FL 32806-4474 | |
| (407) 676-4068 | |
| Not Available |
| Full Name | Beacon Health, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2750 Taylor Ave Ste A39, Orlando, Florida |
| Authorized Official Name and Position | Joseph Sivoli (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4142419480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Health, Inc 2750 Taylor Ave Ste A39 Orlando FL 32806-4474 Ph: (407) 676-4068 | Beacon Health, Inc 2750 Taylor Ave Ste A39 Orlando FL 32806-4474 Ph: (407) 676-4068 |
| NPI Number | 1891414025 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 08/23/2022 |
| Medicare PECOS PAC ID | 7911446091 |
|---|---|
| Medicare Enrollment ID | O20240903004188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891414025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Eleanor Hauser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053791806 PECOS PAC ID: 7810436151 Enrollment ID: I20240829003619 |
| Provider Name | Tiffani Sander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073311122 PECOS PAC ID: 3072023779 Enrollment ID: I20250611002402 |
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