Organization
MINDWORKS ON CALL
Active
Organization
MINDWORKS ON CALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RENEE MICHAELS (OWNER)
(727) 278-8375
Entity
Organization
Contact information
Practice address
2878 FAIR GREEN DR, CLEARWATER, FL 33761-1845
(727) 278-8375
Mailing address
2878 FAIR GREEN DR, CLEARWATER, FL 33761-1845
(727) 278-8375
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4899
FL
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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