| Mindbody Integrated | |
|
2204 S Parsons Ave Seffner FL 33584-5212 | |
| (813) 684-3222 | |
| (813) 464-2787 |
| Full Name | Mindbody Integrated |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2204 S Parsons Ave, Seffner, Florida |
| Authorized Official Name and Position | Maulik Trivedi (PRESIDENT) |
| Authorized Official Contact | 8136503239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbody Integrated 809 E Bloomingdale Ave Pmb # 377 Brandon FL 33511-8113 Ph: (813) 650-3239 | Mindbody Integrated 2204 S Parsons Ave Seffner FL 33584-5212 Ph: (813) 684-3222 |
| NPI Number | 1225340789 |
|---|---|
| Provider Enumeration Date | 07/12/2010 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225340789 | NPI | - | NPPES |
| 265223400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 84208 (Florida) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME 84208 (Florida) | Primary |
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