| Mind And Soul Medical Therapy Inc. | |
|
7911 Nw 72nd Ave Ste 115 Medley FL 33166-2221 | |
| (786) 953-8744 | |
| Not Available |
| Full Name | Mind And Soul Medical Therapy Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7911 Nw 72nd Ave Ste 115, Medley, Florida |
| Authorized Official Name and Position | Rodolfo Ruano Dieguez (OWNER) |
| Authorized Official Contact | 7862829730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Soul Medical Therapy Inc. 7911 Nw 72nd Ave Ste 115 Medley FL 33166-2221 Ph: () - | Mind And Soul Medical Therapy Inc. 7911 Nw 72nd Ave Ste 115 Medley FL 33166-2221 Ph: (786) 953-8744 |
| NPI Number | 1346830932 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346830932 | NPI | - | NPPES |
| 109315200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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