| Integrated Mind Medicine | |
|
1946 Tyler St Suite 14 Hollywood FL 33020-4517 | |
| (754) 210-5359 | |
| (754) 210-5363 |
| Full Name | Integrated Mind Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1946 Tyler St, Hollywood, Florida |
| Authorized Official Name and Position | Mencia Gomez (MD) |
| Authorized Official Contact | 7542105359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Mind Medicine 1946 Tyler St Suite 14 Hollywood FL 33020-4517 Ph: (754) 210-5359 | Integrated Mind Medicine 1946 Tyler St Suite 14 Hollywood FL 33020-4517 Ph: (754) 210-5359 |
| NPI Number | 1730575549 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730575549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME121955 (Florida) | Primary |
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