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Organization

SMA HEALTHCARE INC

Active
Parent organization
SMA HEALTHCARE INC
Other names
ACT Corporation
Organization subpart
Yes

Provider details

NPI number
Legal business name
SMA HEALTHCARE INC
Authorized official
KEVIN BUNN (CONTRACTING MANAGER)
(386) 236-3273
Entity
Organization

Contact information

Practice address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3225
(386) 236-3175
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3225
(386) 236-3178

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
261QF0400X
Federally Qualified Health Center (FQHC)
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004471200
FL
05
060311200
FL
05
060311206
FL
05
060311208
FL
05
060311210
FL
05
060311211
FL
05
060311213
FL
05
060311215
FL
Enumeration date
01/03/2006
Last updated
03/05/2026
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