Addison Boney, Samyra

Addison Boney, Samyra is an individual health care provider with primary practice located at 715 Almond St , Clermont FL 34711-3121. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Addison Boney, Samyra can be contacted via phone (352) 241-4187.

Contact Information

Primary practice address
715 Almond St Clermont FL 34711-3121
Phone: (352) 241-4187
Fax: (352) 241-4684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669509121
LBN Legal business name Addison Boney, Samyra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Sep 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669509121 NPPES
Florida MEDICAID 756701400
Florida MEDICAID 003054400

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