Organization
CLEARMINDFORALL, INC
Active
Other names
Mental Health Services MDPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ETHAN LAI MD (PSYCHIATRIST)
(917) 202-9422
Entity
Organization
Contact information
Practice address
600 CLEVELAND ST STE 240, CLEARWATER, FL 33755-4151
(917) 202-9422
Mailing address
8815 CONROY WINDERMERE RD STE 628, ORLANDO, FL 32835-3129
(407) 779-8808
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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