Mind, Body & Modern Medicine, LLC
NPI #1912302787 in Land O'lakes, Florida
Provider Information
- NPI Number
- 1912302787
- Entity Type
- Organization
- Organization Name
- Mind, Body & Modern Medicine, LLC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Oct 23, 2014
- Last Updated
- Oct 23, 2014
Practice Location
- Address
- 19401 SHUMARD OAK DR
- Address 2
- CLARITY MEDSPA
- City
- Land O'lakes
- State
- Florida
- ZIP Code
- 34638
- Phone
- (727) 264-1364
Authorized Official
- Name
- MS. FAITH I BEVAN, PA-C
- Title
- MANAGER
- Phone
- (727) 992-3440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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