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Organization
MIND BODY SOUL AND SPIRIT MBSS
Active
Organization
MIND BODY SOUL AND SPIRIT MBSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONA ESTELLA HAUGHTON NP (OWNER)
(321) 244-7067
Entity
Organization
Contact information
Practice address
2269 HIALEAH ST NE, PALM BAY, FL 32907-2650
(321) 244-7067
Mailing address
2269 HIALEAH ST NE, PALM BAY, FL 32907-2650
(321) 244-7067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
08/15/2025
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