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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 : 1912864117
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 : 320 KAY LARKIN DR
Second Line :
City : PALATKA
State : FL
Zip : 32177-2307
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 : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “SMA HEALTHCARE INC ” Practice Location

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