Body & Mind, LLC
Internal Medicine in Greenacres, FL. Organization (NPI-2).
NPI number1033593967
StatusActive
Last updated in NPPESJul 9, 2015
Details
- NPI
- 1033593967
- Entity type
- Organization (NPI-2)
- Legal business name
- Body & Mind, LLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2015
- Last updated
- Jul 9, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 104100000X | Social Worker | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
4886 Lake Worth RdSuite C
Greenacres, FL 33463-8725
Phone 954-213-3702
Mailing address
4886 Lake Worth RdSuite C
Greenacres, FL 33463-8725
Phone 954-213-3702
Authorized official
Hamlet R Hassan
President
9542133702
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