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NPI Code Detail

MEDICARE: MINDSOLUTIONSPSYCHIATRYLLC

MEDICARE: MINDSOLUTIONSPSYCHIATRYLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1053269654
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDSOLUTIONSPSYCHIATRYLLC
Provider Business Mailing Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 321-290-8400
Fax Number : 855-461-3454
Provider Business Practice Location Address
First Line : 100 E PINE ST STE 110
Second Line :
City : ORLANDO
State : FL
Zip : 32801-2759
Country : US
Telephone Number : 321-290-8400
Fax Number : 855-461-3454
Authorized Official
Title or Position : OWNER
Name : JOHN LOPEZ
Credential : DNP, PMHNP-BC
Telephone Number : 915-282-9967
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “MINDSOLUTIONSPSYCHIATRYLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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