| Mindful Services Inc | |
|
12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | |
| (786) 366-1055 | |
| Not Available |
| Full Name | Mindful Services Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12485 Sw 137th Ave Ste 109, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306609359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Thomas Richard Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952731762 PECOS PAC ID: 8426325127 Enrollment ID: I20170601000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Services Inc 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 Ph: (786) 366-1055 | Mindful Services Inc 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 Ph: (786) 366-1055 |
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