| Mind Wellness Llc | |
|
901 Venetia Bay Blvd Suite 220 Venice FL 34285-8041 | |
| (941) 313-5583 | |
| (941) 296-8552 |
| Full Name | Mind Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 901 Venetia Bay Blvd, Venice, Florida |
| Authorized Official Name and Position | Gleydys Salgado Cardoso (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9413135583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Wellness Llc 901 Venetia Bay Blvd Suite 220 Venice FL 34285-8041 Ph: (941) 313-5583 | Mind Wellness Llc 901 Venetia Bay Blvd Suite 220 Venice FL 34285-8041 Ph: (941) 313-5583 |
| NPI Number | 1609276203 |
|---|---|
| Provider Enumeration Date | 09/02/2014 |
| Last Update Date | 09/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609276203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME113267 (Florida) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME113267 (Florida) | Primary |
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