Healthcare Provider Details

I. General information

NPI: 1679491559
Provider Name (Legal Business Name): RCMIND&MEDICINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1328 W 15TH ST STE 1
PANAMA CITY FL
32401-2000
US

IV. Provider business mailing address

1328 W 15TH ST STE 1
PANAMA CITY FL
32401-2000
US

V. Phone/Fax

Practice location:
  • Phone: 850-943-5095
  • Fax: 850-917-0048
Mailing address:
  • Phone: 850-943-5095
  • Fax: 850-917-0048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RMANADA BROWN
Title or Position: DUAL CERTIFIED APRN
Credential: APRN
Phone: 850-276-2312