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Organization

ONE BEAUTIFUL MIND L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA MARTIN APRN (OWNER)
(407) 247-4772
Entity
Organization

Contact information

Practice address
1317 EDGEWATER DR # 1973, ORLANDO, FL 32804-6350
(407) 254-7593
Mailing address
1232 TALLOW RD, APOPKA, FL 32703-8443
(407) 247-4772

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/19/2021
Last updated
02/19/2021
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