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NPI Code Detail

MEDICARE: MINDCARE HEALTH & WELLNESS CENTER

MEDICARE: MINDCARE HEALTH & WELLNESS CENTER
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
1363L00000XNurse Practitioner

General Provider Information

NPI Number : 1184562159
Entity Type Code : Organization
Provider Name (Legal Business Name) : MINDCARE HEALTH & WELLNESS CENTER
Provider Business Mailing Address
First Line : 3225 N HIATUS RD UNIT 453577
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33345-8572
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 345 SW 27TH AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33312-2050
Country : US
Telephone Number : 954-280-3871
Fax Number :
Authorized Official
Title or Position : CEO
Name : ADMA WILSON-ROMANS
Credential :
Telephone Number : 954-280-3871
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “MINDCARE HEALTH & WELLNESS CENTER ” Practice Location

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