Organization
ELITE MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WIMAR LOZADA (OWNER)
(407) 749-3580
Entity
Organization
Contact information
Practice address
145 E 13TH ST, SAINT CLOUD, FL 34769-4749
(407) 749-3580
Mailing address
145 E 13TH ST, SAINT CLOUD, FL 34769-4749
(407) 749-3580
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
04/10/2024
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