Mind Revive Psychiatry LLC
NPI #1285230185 in Auburndale, Florida
Provider Information
- NPI Number
- 1285230185
- Entity Type
- Organization
- Organization Name
- Mind Revive Psychiatry LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 7, 2020
- Last Updated
- Aug 22, 2023
Practice Location
- Address
- 1863 SKYVIEW DR
- City
- Auburndale
- State
- Florida
- ZIP Code
- 33823-5445
- Phone
- (407) 561-2500
Authorized Official
- Name
- MR. MARCUS L ROBINSON, PMHNP-BC
- Title
- PSYCHIATRIC NURSE PRACTITIONER
- Phone
- (863) 399-2664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Nurse Practitioner |
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