Organization
PEACEFUL MIND PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING LIU (OWNER)
(352) 219-1624
Entity
Organization
Contact information
Practice address
4635 NW 53RD AVE STE 205, GAINESVILLE, FL 32653-3418
(352) 672-6339
(833) 876-3634
Mailing address
4707 NW 71ST PL, GAINESVILLE, FL 32653-1155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295149854
NPPES--ORGANIZATIONAL NPI
FL
01
—
1811172992
NPPES
FL
Enumeration date
06/11/2014
Last updated
01/24/2022
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