Organization
MIND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEYDYS SALGADO CARDOSO MD (MEDICAL DIRECTOR)
(941) 313-5583
Entity
Organization
Contact information
Practice address
901 VENETIA BAY BLVD, SUITE 220, VENICE, FL 34285-8041
(941) 313-5583
(941) 296-8552
Mailing address
901 VENETIA BAY BLVD, SUITE 220, VENICE, FL 34285-8041
(941) 313-5583
(941) 296-8552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME113267
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME113267
FL
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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