| Mindful Medical Consulting Llc | |
|
838 Walker Rd Ste 21-2 Dover DE 19904-2751 | |
| (302) 513-7033 | |
| Not Available |
| Full Name | Mindful Medical Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 838 Walker Rd Ste 21-2, Dover, Delaware |
| Authorized Official Name and Position | David Gaines (OWNER) |
| Authorized Official Contact | 3025137033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Medical Consulting Llc 11 Kiamensi Rd Wilmington DE 19804-2907 Ph: () - | Mindful Medical Consulting Llc 838 Walker Rd Ste 21-2 Dover DE 19904-2751 Ph: (302) 513-7033 |
| NPI Number | 1114627585 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/28/2023 |
| Medicare PECOS PAC ID | 3274992581 |
|---|---|
| Medicare Enrollment ID | O20230705002326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114627585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | David Lemonte Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992140800 PECOS PAC ID: 0446485197 Enrollment ID: I20131105000541 |
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