BODY & MIND, LLC (NPI# 1033593967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033593967 |
| Entity Type | Organization |
| Organization Name | BODY & MIND, LLC |
| Practice Address |
4886 Lake Worth Rd Suite C Greenacres FL 33463-8725 |
| Practice Telephone | 9542133702 |
| Mailing Telephone | 9542133702 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | HAMLET R HASSAN (PRESIDENT) |
| Authorized Official Telephone | 9542133702 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
4886 LAKE WORTH RD SUITE C |
| City | GREENACRES |
| State | FL |
| Zip Code | 33463-8725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647215 | Matthew Inaba Pickron | Dentist | 6476 Lake Worth Rd, Lake Worth, FL 33463 | 2020-10-21 |
| 1750992228 | Janet Arlene Meikle | Nurse's Aide | 5500 Albin Drive, Greenacres, FL 33463 | 2020-08-10 |
| 1205478955 | Nadine Pierre Jean | Nurse Practitioner | 5333 Island Gypsy Drive, Green Acres, FL 33463 | 2019-10-15 |
| 1427537372 | Dorothy Carol Rose Smith | Speech-Language Pathologist | 6200 Grand Cypress Circle, Lake Worth, FL 33463 | 2018-08-11 |
| 1366930059 | Family Care Rx, LLC | Pharmacy | 6428 Melaleuca Ln, Greenacres, FL 33463 | 2018-04-27 |
| 1134616956 | Lianely Marciante | Nurse Practitioner | 6424 Grand Cypress Cir, Lake Worth, FL 33463 | 2018-04-17 |
| 1174039960 | Marigold Nursing, LLC | Registered Nurse | 3900 Woodlake Blvd., Suite 200-13, Lake Worth, FL 33463 | 2017-12-16 |
| 1295245512 | Jocelyn Augustin | Physical Therapist | 5026 Sabreline Terrace, Green Acres, FL 33463 | 2017-10-02 |
| 1922527662 | Victoria Johnson | Licensed Practical Nurse | 6166 Plains Drive, Lake Worth, FL 33463 | 2017-09-13 |
| 1346764123 | Tdc Lantana LLC | Clinic/Center | 6346 Lantana Rd Suite 68, Lake Worth, FL 33463 | 2017-08-02 |
| Find all providers in zip 33463 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205086063 | Lake Worth Medical Pa | Internal Medicine | 2938 Jog Rd, Greenacres, FL 33467-2002 | 2008-09-29 |
| 1346433737 | Gina Joseph | Internal Medicine | 4849 Lake Wroth Road, Greenacres, FL 33463 | 2007-08-20 |
| 1346315348 | David Gonzalez | Internal Medicine | 5037 Lake Worth Rd, Greenacres, FL 33463-3348 | 2006-11-22 |
| 1588762140 | Jason M Strong | Internal Medicine | 6151 Lake Worth Rd, Greenacres, FL 33463-3074 | 2006-09-20 |
| 1659382414 | Beatrice Deshommes | Internal Medicine | 4998 10th Ave N, Greenacres, FL 33463 | 2006-08-10 |
| 1326080938 | Mohammad T Javed Md Pa | Internal Medicine | 6447 Lake Worth Rd, Greenacres, FL 33463-3007 | 2006-06-11 |
| 1861447385 | Negar Seddiqi Mohamed | Internal Medicine | 3345 Jog Rd, Greenacres, FL 33467-2010 | 2006-05-23 |
| 1265416754 | Mil-lake Healthcare Center, Inc. | Internal Medicine | 4849 Lake Worth Road, Greenacres, FL 33463 | 2005-11-30 |
| 1659362051 | Orlando A Cuadra | Internal Medicine | 6766 Forest Hill Blvd, Greenacres, FL 33413-3321 | 2005-11-03 |
| 1922620210 | David Abellard, Md, Pa | Internal Medicine | 4849 Lake Worth Road, Suite 201, Greenacres, FL 33463 | 2020-05-11 |
| Find all providers in GREENACRES | ||||
| City | GREENACRES |
| Zip Code | 33463 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.