| Clear Minds Wellness Institute Llc | |
|
7100 W 20th Ave Ste 301 Hialeah FL 33016-1812 | |
| (305) 713-6358 | |
| Not Available |
| Full Name | Clear Minds Wellness Institute Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7100 W 20th Ave Ste 301, Hialeah, Florida |
| Authorized Official Name and Position | Amy Gianna Alfonso Batista (PRESIDENT) |
| Authorized Official Contact | 3057136358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Minds Wellness Institute Llc 7100 W 20th Ave Ste 301 Hialeah FL 33016-1812 Ph: () - | Clear Minds Wellness Institute Llc 7100 W 20th Ave Ste 301 Hialeah FL 33016-1812 Ph: (305) 713-6358 |
| NPI Number | 1174330070 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 8820526791 |
|---|---|
| Medicare Enrollment ID | O20250107001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174330070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Samir Rameshchandra Shah |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1881893741 PECOS PAC ID: 6507080736 Enrollment ID: I20190925002827 |
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