# MIND SOUL WELLNESS OF FLORIDA

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

## Provider details

- **NPI number:** 1881355436
- **Authorized official:** GABRIEL ROBERT DONADIO (OWNER)
- **Authorized official phone:** (781) 367-2692

## Contact information

- **Practice address:** 9387 BOCA RIVER CIR, BOCA RATON, FL 33434-3973
- **Practice address phone:** (561) 695-6756
- **Mailing address:** 146 NORTH ST, STONEHAM, MA 02180-2158
- **Mailing address phone:** (781) 367-2692

## 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:** 01/05/2022
- **Last updated:** 01/05/2022