Indiheartandmind Inc | |
8395 W Oakland Park Blvd Ste C Sunrise FL 33351-7346 | |
(561) 404-1422 | |
Not Available |
Full Name | Indiheartandmind Inc |
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Speciality | Nursing Care |
Location | 8395 W Oakland Park Blvd Ste C, Sunrise, Florida |
Authorized Official Name and Position | Ayinde Reid (PRESIDENT) |
Authorized Official Contact | 5614041422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Indiheartandmind Inc 8395 W Oakland Park Blvd Ste C Sunrise FL 33351-7346 Ph: (772) 418-1156 | Indiheartandmind Inc 8395 W Oakland Park Blvd Ste C Sunrise FL 33351-7346 Ph: (561) 404-1422 |
NPI Number | 1083043830 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 12/28/2020 |
Certification Date | 12/28/2020 |
Medicare PECOS PAC ID | 4981927373 |
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Medicare Enrollment ID | O20141215002076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083043830 | NPI | - | NPPES |
018922500 | Medicaid | FL | |
019228100 | Medicaid | FL | |
024003000 | Medicaid | FL | |
107309900 | Medicaid | FL |
Provider Name | Comfort O Adewumi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477505758 PECOS PAC ID: 0941293245 Enrollment ID: I20040405000261 |
Provider Name | Rachel M Salerno |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114235751 PECOS PAC ID: 0941215107 Enrollment ID: I20060209000582 |
Provider Name | Jean Rony Rony Jean Mary |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346317088 PECOS PAC ID: 5193815488 Enrollment ID: I20090107000623 |
Provider Name | Robert Antoine |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1245249218 PECOS PAC ID: 9133189871 Enrollment ID: I20100113000519 |
Provider Name | Paul K Phillips |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427051937 PECOS PAC ID: 8921070558 Enrollment ID: I20140925000792 |
Provider Name | Ayinde Reid |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639587769 PECOS PAC ID: 5890018287 Enrollment ID: I20141215002150 |
Provider Name | Elizabeth T Cullinane |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073047007 PECOS PAC ID: 0244506194 Enrollment ID: I20171020003066 |
Provider Name | Heather Vaughn |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386095198 PECOS PAC ID: 0840553095 Enrollment ID: I20180420002131 |
Provider Name | Loren M Berry |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1417427873 PECOS PAC ID: 7113265539 Enrollment ID: I20190211001268 |
Provider Name | Tatiana Valencia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1639732738 PECOS PAC ID: 1658704689 Enrollment ID: I20191205002323 |
Provider Name | Sandia Marcellon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538629506 PECOS PAC ID: 1153751771 Enrollment ID: I20200423000095 |
Provider Name | Steven Trisker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124514534 PECOS PAC ID: 0941552913 Enrollment ID: I20200930000203 |
Provider Name | Giorvanie Fleurme |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730714197 PECOS PAC ID: 9931510500 Enrollment ID: I20201203000582 |
Provider Name | Gerard Adam Kruse |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093986853 PECOS PAC ID: 1759796253 Enrollment ID: I20210216000234 |
Provider Name | Sergey Kalitenko |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740295278 PECOS PAC ID: 9234037870 Enrollment ID: I20210901000574 |
Provider Name | Tony Thomas Abraham |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609432061 PECOS PAC ID: 5193115830 Enrollment ID: I20211210002411 |
Provider Name | Icolin Y Darby |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053039057 PECOS PAC ID: 2264802412 Enrollment ID: I20230104000063 |
Provider Name | Camele Carlene Campbell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023719093 PECOS PAC ID: 6709241995 Enrollment ID: I20230421001260 |
Provider Name | Natalie Nina Jagarnauth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215681994 PECOS PAC ID: 9436515871 Enrollment ID: I20230510000752 |
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