Organization
MINDGLOW PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBUNADIKE MBANUGO (CEO)
(305) 905-0233
Entity
Organization
Contact information
Practice address
10315 SW 181ST ST, MIAMI, FL 33157-5398
(305) 905-0233
Mailing address
10315 SW 181ST ST, MIAMI, FL 33157-5398
(305) 905-0233
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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