Healthcare Provider Details

I. General information

NPI: 1720974009
Provider Name (Legal Business Name): RENEWED MIND AND HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2025
Last Update Date: 06/14/2025
Certification Date: 06/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E BROWARD BLVD STE. 1710
FORT LAUDERDALE FL
33394
US

IV. Provider business mailing address

500 E BROWARD BLVD STE. 1710
FORT LAUDERDALE FL
33394
US

V. Phone/Fax

Practice location:
  • Phone: 301-500-0628
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. NATALIE DAWKINS
Title or Position: PMHNP
Credential:
Phone: 301-500-0628