Organization
SMA HEALTHCARE INC
Active
Parent organization
SMA HEALTHCARE INC
Other names
VINCE CARTER SANCTUARY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMA HEALTHCARE INC
Authorized official
MR. IVAN A COSIMI (CEO/PRESIDENT)
(386) 236-1811
Entity
Organization
Contact information
Practice address
301 JUSTICE LN, BUNNELL, FL 32110-4487
(800) 478-0331
(386) 236-3178
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3200
(386) 236-3178
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0718AD5986-41
FL
Other
Enumeration date
11/15/2010
Last updated
02/05/2026
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