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General NPI Number Information
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NPI Number | 1659171122
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Entity Type | Organization
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Legal Business Name | VITALMIND PSYCHIATRY CARE PLLC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2740 SW 19TH TER
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City | MIAMI
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State | FL
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Zip | 33145-1930
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Country | US
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Telephone | 561-525-6349
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Fax |
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Provider Business Mailing Address
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Address Line | 2740 SW 19TH TER
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City | MIAMI
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State | FL
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Zip | 33145-1930
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Country | US
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Telephone | 561-525-6349
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Fax | 305-906-7491
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DENNIS REJAS CABRERA
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Credential |
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Telephone | 786-318-1778
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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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