Organization
DIVINE MINDS MYSTIC HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE Y MELENDEZ (VP)
(954) 857-8479
Entity
Organization
Contact information
Practice address
11 PALM AVE, HALLANDALE BEACH, FL 33009-6430
(954) 857-8479
Mailing address
11 PALM AVE, HALLANDALE BEACH, FL 33009-6430
(954) 857-8479
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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