Organization
INSTITUTE FOR MIND AND BODY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL MIGUEL CARRASCO MD (MEDICAL DIRECTOR)
(786) 999-3727
Entity
Organization
Contact information
Practice address
7765 SW 87TH AVE STE 105, MIAMI, FL 33173-2535
(786) 423-9082
Mailing address
7765 SW 87TH AVE STE 105, MIAMI, FL 33173-2535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
02/02/2024
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