MEDICARE: WHOLE BODY AND MIND HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1154279057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE BODY AND MIND HEALTH

Provider Business Mailing Address
First Line	:	4822 STAGHORN CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4822 STAGHORN CT
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-4926
Country	:	US
Telephone Number	:	904-383-2558
Fax Number	:

Authorized Official
Title or Position	:	OWNER/NP
Name	:	JESSIE CIROLIA
Credential	:
Telephone Number	:	904-383-2558

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

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Directions to “WHOLE BODY AND MIND HEALTH ” Practice Location

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