Beautiful Mind Clinic, Llc | |
7208 W Sand Lake Rd Ste 305 Orlando FL 32819-5279 | |
(407) 799-8808 | |
(407) 440-4307 |
Full Name | Beautiful Mind Clinic, Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 7208 W Sand Lake Rd Ste 305, Orlando, Florida |
Authorized Official Name and Position | Damon Lai (HEALTHCARE ADMINISTRATOR) |
Authorized Official Contact | 4077998808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beautiful Mind Clinic, Llc 7208 W Sand Lake Rd Ste 305 Orlando FL 32819-5279 Ph: (407) 799-8808 | Beautiful Mind Clinic, Llc 7208 W Sand Lake Rd Ste 305 Orlando FL 32819-5279 Ph: (407) 799-8808 |
NPI Number | 1184190753 |
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Provider Enumeration Date | 10/22/2018 |
Last Update Date | 12/23/2020 |
Certification Date | 12/23/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184190753 | NPI | - | NPPES |
ME114891 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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