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NPI Code Detail

MEDICARE: WEMIND INSTITUTE P.A,

MEDICARE: WEMIND INSTITUTE P.A,
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
1261QM2500XMedical Specialty Clinic/CenterME77405FL

General Provider Information

NPI Number : 1962756650
Entity Type Code : Organization
Provider Name (Legal Business Name) : WEMIND INSTITUTE P.A,
Provider Business Mailing Address
First Line : 1695 NW 110TH AVE STE 317
Second Line :
City : MIAMI
State : FL
Zip : 33172-1930
Country : US
Telephone Number : 305-671-3654
Fax Number : 305-459-3242
Provider Business Practice Location Address
First Line : 1695 NW 110TH AVE STE 317
Second Line :
City : MIAMI
State : FL
Zip : 33172-1930
Country : US
Telephone Number : 305-671-3654
Fax Number : 305-459-3242
Authorized Official
Title or Position : OWNER
Name : MRS. ELZA VASCONCELLOS
Credential : M.D.
Telephone Number : 305-671-3654
Provider Enumeration Date : 11/01/2012
Last Update Date : 11/07/2023

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Practice Location Address:
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1427143619 — ELZA N VASCONCELLOS MD
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1245487388 — DR. MANUEL ANTONIO GARCIA MD
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1861718496 — MANUEL A. GARCIA MDPA
Practice Location Address:
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1548572506 — MRS. DANEB GONZALEZ APRN
Practice Location Address:
1695 NW 110TH AVE STE 317
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1467791061 — MAURICIO VALIDO APRN
Practice Location Address:
1695 NW 110TH AVE STE 310
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Directions to “WEMIND INSTITUTE P.A, ” Practice Location

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