Organization
GRACIOUS MIND P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORDA HERNANDEZ (DIRECTOR)
(954) 536-3118
Entity
Organization
Contact information
Practice address
1625 N COMMERCE PKWY, SUITE 210, WESTON, FL 33326-3216
(954) 536-3118
Mailing address
1625 N COMMERCE PKWY, SUITE 210, WESTON, FL 33326-3216
(954) 536-3118
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7910
FL
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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