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Organization
MIND BODY SPIRIT, REFORMERS LLC
Active
Organization
MIND BODY SPIRIT, REFORMERS LLC
Active
Other names
Institute for Optimal Healing & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERTHA L OSORIO-CAMPBELL APRN (OWNER)
(954) 802-9835
Entity
Organization
Contact information
Practice address
4143 S PINE ISLAND RD, DAVIE, FL 33328-2831
(954) 802-9835
Mailing address
4143 S PINE ISLAND RD, DAVIE, FL 33328-2831
(954) 802-9835
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2020
Last updated
12/13/2020
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