| Mind And Brain Care Llc | |
|
10175 6 Mile Cypress Pkwy Ste 3 Fort Myers FL 33966-6993 | |
| (239) 768-6500 | |
| Not Available |
| Full Name | Mind And Brain Care Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 10175 6 Mile Cypress Pkwy Ste 3, Fort Myers, Florida |
| Authorized Official Name and Position | Mabel Lopez (OWNER) |
| Authorized Official Contact | 2397686500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Brain Care Llc 10175 6 Mile Cypress Pkwy Suite 3 Fort Myers FL 33966-9663 Ph: (239) 768-6500 | Mind And Brain Care Llc 10175 6 Mile Cypress Pkwy Ste 3 Fort Myers FL 33966-6993 Ph: (239) 768-6500 |
| NPI Number | 1942516844 |
|---|---|
| Provider Enumeration Date | 08/30/2010 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 1456543271 |
|---|---|
| Medicare Enrollment ID | O20101012000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942516844 | NPI | - | NPPES |
| 75725 | Other | FL | BCBS |
| 6022640 | Other | FL | CIGNA |
| Provider Name | Mabel Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508971037 PECOS PAC ID: 2163525254 Enrollment ID: I20070309000399 |
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