| Beautiful Mind Clinic, Llc | |
|
7208 W Sand Lake Rd Ste 305 Orlando FL 32819-5279 | |
| (407) 799-8808 | |
| (407) 440-4307 |
| Full Name | Beautiful Mind Clinic, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7208 W Sand Lake Rd Ste 305, Orlando, Florida |
| Authorized Official Name and Position | Damon Lai (HEALTHCARE ADMINISTRATOR) |
| Authorized Official Contact | 4077998808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Mind Clinic, Llc 7208 W Sand Lake Rd Ste 305 Orlando FL 32819-5279 Ph: (407) 799-8808 | Beautiful Mind Clinic, Llc 7208 W Sand Lake Rd Ste 305 Orlando FL 32819-5279 Ph: (407) 799-8808 |
| NPI Number | 1184190753 |
|---|---|
| Provider Enumeration Date | 10/22/2018 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184190753 | NPI | - | NPPES |
| ME114891 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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