DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MIND REFINED

MEDICARE: MIND REFINED
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
1363LF0000XFamily Nurse Practitioner
2261QX0200XOncology Clinic/Center
3363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1396590659
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIND REFINED
Provider Business Mailing Address
First Line : 14649 SW 42ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33175-7825
Country : US
Telephone Number : 305-290-2175
Fax Number : 305-290-2176
Provider Business Practice Location Address
First Line : 3191 CORAL WAY STE 607
Second Line :
City : MIAMI
State : FL
Zip : 33145-3230
Country : US
Telephone Number : 305-290-2176
Fax Number : 305-290-2176
Authorized Official
Title or Position : CEO
Name : MICHELLE ANDREA VON DER HEYDE
Credential : NP
Telephone Number : 305-290-2175
Provider Enumeration Date : 04/20/2024
Last Update Date : 06/05/2026

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:
701 NW 27TH AVE
MIAMI, FL
33125-3012
Practice Phone: 786-744-1900
Practice Fax: 305-760-4141
1639732738 — TATIANA VALENCIA PSY.D
Practice Location Address:
3191 CORAL WAY STE 623
MIAMI, FL
33145-3230
Practice Phone: 786-344-2849
Practice Fax:
1386242402 — MICHELLE ANDREA VON DER HEYDE APRN
Practice Location Address:
3191 CORAL WAY STE 607
MIAMI, FL
33145-3230
Practice Phone: 305-290-2175
Practice Fax: 305-291-2176
1316657646 — ANTHONY LEARNING CENTER INC
Practice Location Address:
3191 CORAL WAY STE 622
MIAMI, FL
33145-3230
Practice Phone: 786-867-1418
Practice Fax:
1710878954 — GUNTIN-ALEMAN
Practice Location Address:
3191 CORAL WAY STE 607
MIAMI, FL
33145-3230
Practice Phone: 786-306-9591
Practice Fax:
1932041407 — AVANZA HEALTH LLC
Practice Location Address:
3191 CORAL WAY STE 619
MIAMI, FL
33145-3230
Practice Phone: 786-304-8660
Practice Fax:

Directions to “MIND REFINED ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.