Organization
MENDED MINDS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH BRUDER PMD (C0-OWNER/CEO)
(954) 214-1494
Entity
Organization
Contact information
Practice address
1625 N COMMERCE PKWY STE 300, WESTON, FL 33326-3206
(954) 765-6262
Mailing address
2640 SW 137TH TER, DAVIE, FL 33330-1132
(954) 765-6262
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2019
Last updated
05/12/2020
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