Organization
MINDZEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P BRABHAM JR. PA-C (MANAGER/PROIVDER)
(813) 575-0477
Entity
Organization
Contact information
Practice address
322 W BEARSS AVE, TAMPA, FL 33613-1228
(813) 575-0477
Mailing address
21814 WAVERLY SHORES LN, LAND O LAKES, FL 34637-7562
(813) 575-0477
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
10/02/2024
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