Organization
MIND REFINED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANDREA VON DER HEYDE NP (CEO)
(305) 290-2175
Entity
Organization
Contact information
Practice address
3191 CORAL WAY STE 607, MIAMI, FL 33145-3230
(305) 290-2176
(305) 290-2176
Mailing address
14649 SW 42ND ST, PMB 134, MIAMI, FL 33175-7825
(305) 290-2175
(305) 290-2176
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
12/12/2025
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