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General NPI Number Information
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NPI Number | 1467467266
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Entity Type | Organization
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Legal Business Name | MINDPATH HEALTH FLORIDA, PLLC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1725 N UNIVERSITY DR SUITE # 350
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City | CORAL SPRINGS
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State | FL
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Zip | 33071
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Country | US
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Telephone | 954-227-2700
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Fax | 957-227-2704
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Provider Business Mailing Address
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Address Line | 3835 N FREEWAY BLVD STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1954
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Country | US
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Telephone | 916-576-7901
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Fax | 162-779-3809
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Authorized Official
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Title or Position | SOLE OFFICER AND DIRECTOR
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Name | DR. FNU PRIYANKA
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Credential | MD
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Telephone | 559-490-2067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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