# IMD MINDCARE BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588509442
- **Authorized official:** IDATUDE MERDELUS DUMAY APRN, PMHNP-C (PMHNP)
- **Authorized official phone:** (954) 245-1639

## Contact information

- **Practice address:** 8321 NW 44TH CT, LAUDERHILL, FL 33351-5503
- **Practice address phone:** (954) 245-1639
- **Mailing address:** 8321 NW 44TH CT, LAUDERHILL, FL 33351-5503
- **Mailing address phone:** (954) 245-1639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2026
- **Last updated:** 04/20/2026
