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Organization

A MINDFULNESS SPACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRMARIE DIAZ FERNANDEZ MD (PSYCHIATRIST/OWNER)
(352) 339-6299
Entity
Organization

Contact information

Practice address
7901 4TH ST N STE 18631, ST PETERSBURG, FL 33702-4305
(386) 961-4006
(402) 235-4945
Mailing address
7901 4TH ST N STE 18631, ST PETERSBURG, FL 33702-4305

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
06/19/2024
Last updated
06/19/2024
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