Organization
BODY & MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMLET R HASSAN MD (PRESIDENT)
(954) 213-3702
Entity
Organization
Contact information
Practice address
4886 LAKE WORTH RD, SUITE C, GREENACRES, FL 33463-8725
(954) 213-3702
Mailing address
4886 LAKE WORTH RD, SUITE C, GREENACRES, FL 33463-8725
(954) 213-3702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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