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Organization
MIND SOMA WELLNESS LLC
Active
Organization
MIND SOMA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY LOVE RD, CDCES, IFNCP (OWNER)
(813) 803-5996
Entity
Organization
Contact information
Practice address
5040 14TH AVE N, ST PETERSBURG, FL 33710-6023
(813) 803-5996
Mailing address
3110 1ST AVE N STE 2M, ST PETERSBURG, FL 33713-8637
(813) 803-5996
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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