Organization
SMA HEALTHCARE INC
Active
Parent organization
SMA HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMA HEALTHCARE INC
Authorized official
MR. IVAN COSIMI (CEO)
(386) 236-1811
Entity
Organization
Contact information
Practice address
330 KAY LARKIN DR, PALATKA, FL 32177-2307
(800) 539-4228
Mailing address
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114-4304
(386) 236-3215
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
03/06/2025
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