| Mindcare Of America Llc | |
|
5813 S Congress Ave Atlantis FL 33462-1347 | |
| (561) 797-0724 | |
| (833) 502-4172 |
| Full Name | Mindcare Of America Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5813 S Congress Ave, Atlantis, Florida |
| Authorized Official Name and Position | Ezechiel Madestin (PMHNP-BC) |
| Authorized Official Contact | 5617970724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindcare Of America Llc 9465 Worswick Ct Wellington FL 33414-6423 Ph: (561) 797-0724 | Mindcare Of America Llc 5813 S Congress Ave Atlantis FL 33462-1347 Ph: (561) 797-0724 |
| NPI Number | 1538907100 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Medicare PECOS PAC ID | 8426598699 |
|---|---|
| Medicare Enrollment ID | O20240913003793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538907100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ezecheil Madestin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710608344 PECOS PAC ID: 3375987886 Enrollment ID: I20240222003111 |
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