| Bright Mind Healthcare Corp | |
|
432 Sw 8th Ave Miami FL 33130-2507 | |
| (786) 720-0862 | |
| Not Available |
| Full Name | Bright Mind Healthcare Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 432 Sw 8th Ave, Miami, Florida |
| Authorized Official Name and Position | Karol Cofino Matos (OWNER) |
| Authorized Official Contact | 7867200862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Mind Healthcare Corp 432 Sw 8th Ave Miami FL 33130-2507 Ph: () - | Bright Mind Healthcare Corp 432 Sw 8th Ave Miami FL 33130-2507 Ph: (786) 720-0862 |
| NPI Number | 1225846967 |
|---|---|
| Provider Enumeration Date | 12/27/2024 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 7315475639 |
|---|---|
| Medicare Enrollment ID | O20250114000984 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225846967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lisandra Martinez Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164294401 PECOS PAC ID: 7517403306 Enrollment ID: I20240729003593 |
| Provider Name | Karol Cofino Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720850449 PECOS PAC ID: 0446781512 Enrollment ID: I20240930002629 |
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