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Organization
MIND MEDICAL WELLNESS CARE LLC
Active
Organization
MIND MEDICAL WELLNESS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINE MARIA QUIVES NURSE PRACTITIONER (MANAGER)
(754) 581-7994
Entity
Organization
Contact information
Practice address
2522 CAPITAL CIR NE STE 6, TALLAHASSEE, FL 32308-4110
(754) 581-7994
Mailing address
1451 S 66TH AVE, HOLLYWOOD, FL 33023-2101
(754) 581-7994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/04/2026
Last updated
09/04/2026
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