| Mindful Medicine Counseling Center Llc | |
|
10365 Hood Rd S Ste 204 Jacksonville FL 32257-3261 | |
| (217) 480-7298 | |
| Not Available |
| Full Name | Mindful Medicine Counseling Center Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 10365 Hood Rd S Ste 204, Jacksonville, Florida |
| Authorized Official Name and Position | Roman Criollo (COO) |
| Authorized Official Contact | 2174807298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Medicine Counseling Center Llc 3914 Dylan Ct Jacksonville FL 32223-2707 Ph: () - | Mindful Medicine Counseling Center Llc 10365 Hood Rd S Ste 204 Jacksonville FL 32257-3261 Ph: (217) 480-7298 |
| NPI Number | 1912693912 |
|---|---|
| Provider Enumeration Date | 04/12/2023 |
| Last Update Date | 11/11/2023 |
| Certification Date | 11/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912693912 | NPI | - | NPPES |
| 1699834408 | Other | FL | NPI NUMBER |
| 118398900 | Medicaid | FL |
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