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Organization

MINDTRA LLC

Active
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Organization

MINDTRA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY A GARCIA SMHNP (NURSE PRACTITIONER)
(786) 246-6150
Entity
Organization

Contact information

Practice address
44 NW 17TH ST, HOMESTEAD, FL 33030-3211
(305) 209-4750
(305) 824-8803
Mailing address
44 NW 17TH ST, HOMESTEAD, FL 33030-3211
(305) 209-4750
(305) 824-8803

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
04/24/2025
Last updated
04/24/2025
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