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General NPI Number Information
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NPI Number | 1881537801
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Entity Type | Organization
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Legal Business Name | GREEN MIND PSYCHIATRY LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 3871 SW 147TH AVE APT 3
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City | MIAMI
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State | FL
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Zip | 33185-4006
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Country | US
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Telephone | 305-896-6084
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 SW 147TH AVE APT 3
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City | MIAMI
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State | FL
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Zip | 33185-4006
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Country | US
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Telephone | 305-896-6084
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | ROSBEL PEREZ
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Credential |
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Telephone | 305-896-6084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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