BODY AND MIND WELLNESS CENTER, INC (NPI# 1326474214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326474214 |
| Entity Type | Organization |
| Organization Name | BODY AND MIND WELLNESS CENTER, INC |
| Practice Address |
1450 Madruga Ave Suite 402 Coral Gables FL 33146-3148 |
| Practice Telephone | 7864017214 |
| Mailing Telephone | 7864017214 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | DAVID L HIRSCHENSON (PRESIDENT) |
| Authorized Official Telephone | 7864017214 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1450 MADRUGA AVE SUITE 402 |
| City | CORAL GABLES |
| State | FL |
| Zip Code | 33146-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431282 | Sue White | Social Worker | 1450 Madruga Ave, Ste 304, Coral Gables, FL 33146-3148 | 2005-07-20 |
| 1245650530 | Beverly Coco Fortner | Acupuncturist | 1450 Madruga Ave, Suite 204, Coral Gables, FL 33146-3148 | 2014-04-24 |
| 1053685420 | Darlene Fortune | Nurse Practitioner | 1450 Madruga Ave, Suite 406, Coral Gables, FL 33146-3148 | 2012-03-02 |
| 1346548179 | Claudia Pimentel | Psychologist | 1450 Madruga Ave, Suite 300, Coral Gables, FL 33146-3148 | 2011-03-02 |
| 1972776466 | Cathy Lee Allsman | Psychologist | 1450 Madruga Ave, Suite 310, Coral Gables, FL 33146-3148 | 2008-04-07 |
| 1205004892 | Lana M Stern | Psychologist | 1450 Madruga Ave, Suite 310, Coral Gables, FL 33146-3164 | 2008-02-15 |
| 1891978201 | Ana M Castellanos Md Pa | Psychiatry & Neurology | 1450 Madruga Ave, Suite #201, Coral Gables, FL 33146-3148 | 2007-12-07 |
| 1386832038 | Alexis Reed Sims | Psychologist | 1450 Madruga Ave, Suite 300, Coral Gables, FL 33146-3148 | 2007-10-09 |
| 1235337197 | Sophie Guellati-salcedo | Psychologist | 1450 Madruga Ave, Suite 201, Coral Gables, FL 33146-3148 | 2007-07-03 |
| 1598985947 | Marny R Dixon | Counselor | 1450 Madruga Ave, Suite 310, Coral Gables, FL 33146-3148 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932751427 | Megan Gabrielle Mcleod | Dietitian, Registered | 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-07-15 |
| 1225596919 | Cami Cyan Marshall | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Drive, Coral Gables, FL 33146 | 2019-03-12 |
| 1225596224 | Daniel Rodriguez | Specialist/Technologist | Knight Sport Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1134687122 | Nicholas Rice | Specialist/Technologist | Knight Sports Complex, 5821 San Amaro Dr, Coral Gables, FL 33146 | 2019-03-08 |
| 1396222436 | Julienne Cave | Nurse Practitioner | 4425 Ponce De Leon Blvd Ste 200, Coral Gables, FL 33146 | 2018-07-22 |
| 1891245379 | Michelle Marie Penaranda | Nurse Practitioner | 1299 Theo Dickinson Dr, Coral Gables, FL 33146 | 2016-10-10 |
| 1629526116 | Joanna Vidal | Developmental Therapist | 1550 S Dixie Highway, Suite 203, Coral Gables, FL 33146 | 2016-09-14 |
| 1801265970 | Borinquen Health Care Center Inc | Clinic/Center | 5801 Augusto Street, Ponce De Leon Middle, Coral Gables, FL 33146 | 2015-09-18 |
| 1962898106 | Kshitij Manchanda | Orthopaedic Surgery | 1150 Campo Sano Ave, 2nd Floor, Attn: Maria Claudia Corrandine, Coral Gables, FL 33146 | 2015-04-14 |
| 1437584455 | Amanda C Pina | Occupational Therapist | 3150 Sw 38 Avenue, Suite. 600, Miami, FL 33146 | 2013-09-10 |
| Find all providers in zip 33146 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | CORAL GABLES |
| Zip Code | 33146 |
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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.