| Peaceful Mind Psychiatry, Llc | |
|
4635 Nw 53rd Ave Ste 205 Gainesville FL 32653-3418 | |
| (352) 672-6339 | |
| (833) 876-3634 |
| Full Name | Peaceful Mind Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4635 Nw 53rd Ave Ste 205, Gainesville, Florida |
| Authorized Official Name and Position | Jing Liu (OWNER) |
| Authorized Official Contact | 3522191624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Mind Psychiatry, Llc 4707 Nw 71st Pl Gainesville FL 32653-1155 Ph: () - | Peaceful Mind Psychiatry, Llc 4635 Nw 53rd Ave Ste 205 Gainesville FL 32653-3418 Ph: (352) 672-6339 |
| NPI Number | 1295149854 |
|---|---|
| Provider Enumeration Date | 06/11/2014 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Medicare PECOS PAC ID | 9931327426 |
|---|---|
| Medicare Enrollment ID | O20140825002381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295149854 | NPI | - | NPPES |
| 1811172992 | Other | FL | NPPES |
| 1295149854 | Other | FL | NPPES--ORGANIZATIONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jing Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811172992 PECOS PAC ID: 6305001785 Enrollment ID: I20120710000490 |
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