Organization
MIND, BODY & SOUL PSYCHIATRY, P.A.
Active
Other names
Diana Sofia Glaccum-Gavagni, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA SOFIA GLACCUM-GAVAGNI MD (OWNER/PSYCHIATRIST)
(954) 546-2707
Entity
Organization
Contact information
Practice address
900 SW 196TH AVE, PEMBROKE PINES, FL 33029-1329
(954) 546-2707
(954) 820-5592
Mailing address
900 SW 196TH AVE, PEMBROKE PINES, FL 33029-1329
(954) 546-2707
(954) 820-5592
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
01/15/2025
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