Organization
SMA HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN COSIMI (CEO)
(386) 236-1811
Entity
Organization
Contact information
Practice address
107 DR MARTIN LUTHER KING JR AVE, INVERNESS, FL 34450-4341
(352) 291-5555
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3215
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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