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General NPI Number Information
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NPI Number | 1184562159
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Entity Type | Organization
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Legal Business Name | MINDCARE HEALTH & WELLNESS CENTER
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 345 SW 27TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2050
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Country | US
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Telephone | 954-280-3871
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 N HIATUS RD UNIT 453577
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City | FORT LAUDERDALE
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State | FL
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Zip | 33345-8572
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ADMA WILSON-ROMANS
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Credential |
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Telephone | 954-280-3871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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