BEAUTIFUL MIND CLINIC LLC NPI 1184190753

NPI Information

NPI: 1184190753
Provider Name: BEAUTIFUL MIND CLINIC, LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
7208 W SAND LAKE RD STE 305
ORLANDO, FL
ZIP 32819
Phone: (407) 799-8808
Get Directions

BEAUTIFUL MIND CLINIC, LLC is a neurology psychiatry neurology in Orlando, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BEAUTIFUL MIND CLINIC, LLC NPI is 1184190753. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7208 W SAND LAKE RD STE 305
ORLANDO, FL
ZIP 32819-279
Phone: (407) 799-8808
Fax: (407) 440-4307

The provider's authorized official is Damon Lai .
The authorized official title is Healthcare Administrator and has the following contact phone number (407) 799-8808.

The enumeration date for this NPI number is 10/22/2018 and was last updated on 12/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ME114891	OTHER	FLORIDA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »