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Organization

MINDCARE OF AMERICA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EZECHIEL MADESTIN DNP (PMHNP-BC)
(561) 797-0724
Entity
Organization

Contact information

Practice address
5813 S CONGRESS AVE, ATLANTIS, FL 33462-1347
(561) 797-0724
(833) 502-4172
Mailing address
9465 WORSWICK CT, WELLINGTON, FL 33414-6423
(561) 797-0724
(833) 502-4172

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/18/2024
Last updated
02/20/2026
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