Organization
BEAUTIFUL MIND CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON LAI (HEALTHCARE ADMINISTRATOR)
(407) 799-8808
Entity
Organization
Contact information
Practice address
7208 W SAND LAKE RD STE 305, ORLANDO, FL 32819-5279
(407) 799-8808
(407) 440-4307
Mailing address
7208 W SAND LAKE RD STE 305, ORLANDO, FL 32819-5279
(407) 799-8808
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME114891
MEDICAL LICENSE
FL
Enumeration date
10/22/2018
Last updated
12/23/2020
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