| Mind Fullness Therapy Llc | |
|
17690 Nw 78th Ave Ste 102 Hialeah FL 33015-3669 | |
| (305) 967-9201 | |
| Not Available |
| Full Name | Mind Fullness Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17690 Nw 78th Ave Ste 102, Hialeah, Florida |
| Authorized Official Name and Position | Armando Figueredo (PRESIDENT) |
| Authorized Official Contact | 3059679201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Fullness Therapy Llc 17690 Nw 78th Ave Ste 102 Hialeah FL 33015-3669 Ph: () - | Mind Fullness Therapy Llc 17690 Nw 78th Ave Ste 102 Hialeah FL 33015-3669 Ph: (305) 967-9201 |
| NPI Number | 1346843596 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Medicare PECOS PAC ID | 7517358856 |
|---|---|
| Medicare Enrollment ID | O20211222000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346843596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ricardo E Presas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770505224 PECOS PAC ID: 4284618208 Enrollment ID: I20040619000023 |
| Provider Name | Marysel A Goiriz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275032344 PECOS PAC ID: 6608844345 Enrollment ID: I20040921000689 |
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