| Mosaic Mind And Body Integrated Health | |
|
7901 4th St N Ste 23808 St Petersburg FL 33702-4305 | |
| (727) 609-7339 | |
| Not Available |
| Full Name | Mosaic Mind And Body Integrated Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 7901 4th St N Ste 23808, St Petersburg, Florida |
| Authorized Official Name and Position | Aldo Rosales (OWNER) |
| Authorized Official Contact | 8134718142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Mind And Body Integrated Health 7901 4th St N Ste 23808 St Petersburg FL 33702-4305 Ph: (727) 609-7339 | Mosaic Mind And Body Integrated Health 7901 4th St N Ste 23808 St Petersburg FL 33702-4305 Ph: (727) 609-7339 |
| NPI Number | 1245038520 |
|---|---|
| Provider Enumeration Date | 03/04/2025 |
| Last Update Date | 03/04/2025 |
| Medicare PECOS PAC ID | 7416467220 |
|---|---|
| Medicare Enrollment ID | O20250610004152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245038520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Aldo R Rosales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467902908 PECOS PAC ID: 2163705906 Enrollment ID: I20170201002841 |
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