Organization
EVOLVING MIND PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON FLOYD (OWNER/PROVIDER)
(845) 551-9673
Entity
Organization
Contact information
Practice address
110 W POLK AVE UNIT B, AUBURNDALE, FL 33823-3428
(863) 797-6544
Mailing address
4268 STAFFORD DR, WINTER HAVEN, FL 33880-1141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
12/29/2025
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