| Mindbuilders Inc. | |
|
2627 Ne 203rd St Suite 211 Aventura FL 33180-1900 | |
| (305) 905-7177 | |
| Not Available |
| Full Name | Mindbuilders Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2627 Ne 203rd St, Aventura, Florida |
| Authorized Official Name and Position | Deborah Bruno (PRESIDENT) |
| Authorized Official Contact | 3059057177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbuilders Inc. 3400 Ne 192nd St Suite 2210 Aventura FL 33180-2462 Ph: () - | Mindbuilders Inc. 2627 Ne 203rd St Suite 211 Aventura FL 33180-1900 Ph: (305) 905-7177 |
| NPI Number | 1396981163 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 12/30/2008 |
| Medicare PECOS PAC ID | 5991835308 |
|---|---|
| Medicare Enrollment ID | O20100611000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396981163 | NPI | - | NPPES |
| Z011L | Other | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | SW6832 (Florida) | Primary |
| Provider Name | Deborah A Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467552174 PECOS PAC ID: 2466492350 Enrollment ID: I20050511000072 |
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