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NPI Code Detail

MEDICARE: SMA HEALTHCARE, INC

MEDICARE: SMA HEALTHCARE, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1154286599
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMA HEALTHCARE, INC
Provider Business Mailing Address
First Line : 150 MAGNOLIA AVE
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-4304
Country : US
Telephone Number : 386-236-3215
Fax Number :
Provider Business Practice Location Address
First Line : 1251 N STONE ST
Second Line :
City : DELAND
State : FL
Zip : 32720-2584
Country : US
Telephone Number : 800-539-4228
Fax Number :
Authorized Official
Title or Position : CONTRACTING MANAGER
Name : KEVIN BUNN
Credential :
Telephone Number : 386-236-3273
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “SMA HEALTHCARE, INC ” Practice Location

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