Healthcare Provider Details

I. General information

NPI: 1386493674
Provider Name (Legal Business Name): POSITIVE THINKING PSYCHIATRY OF FLORIDA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 NW 107TH AVE STE 400
DORAL FL
33172-2215
US

IV. Provider business mailing address

3105 NW 107TH AVE STE 400 SUITE 400
DORAL FL
33172-2215
US

V. Phone/Fax

Practice location:
  • Phone: 954-324-7650
  • Fax: 305-703-2202
Mailing address:
  • Phone: 954-324-7650
  • Fax: 305-703-2202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ROSTON T. MOSS
Title or Position: PRESIDENT
Credential: DNP, APRN, PMHNP-BC
Phone: 954-324-7650