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MIND AND BODY REHAB MEDICAL GROUP INC. NPI 1871137679


NPI Information

NPI: 1871137679
Provider Name: MIND AND BODY REHAB MEDICAL GROUP, INC.

Former Legal Business Name: MIND AND BODY REHAB MEDICAL GROUP INC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
7925 NW 12TH ST STE 118
DORAL, FL
ZIP 33126
Phone: (305) 608-8197
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MIND AND BODY REHAB MEDICAL GROUP, INC. is an adult mental health clinic center in Doral, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MIND AND BODY REHAB MEDICAL GROUP, INC. NPI is 1871137679. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Mind And Body Rehab Medical Group Inc.

The provider's business location address is:

7925 NW 12TH ST STE 118
DORAL, FL
ZIP 33126-820
Phone: (305) 608-8197

The provider's authorized official is Abel Avila .
The authorized official title is President and has the following contact phone number (786) 251-1646.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 9/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM0850XClinic/CenterAdult Mental HealthYes

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

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.