Myndfull Care Florida PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MYNDFULL CARE FLORIDA PA

Practice address

501 E Las Olas Blvd Ste 328
Fort Lauderdale, FL 33301-2882

Phone

(855) 839-8878

NPI assigned

Oct 4, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Teja Singh

Title

Ceo

Phone

(855) 839-8878

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1598545857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 W LAKE MEAD BLVD",
            "address_2": "SUITE 5 PMB 1113",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LAS OLAS BLVD STE 328",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012882",
            "telephone_number": "855-839-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNDFULL CARE FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "TEJA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-839-8878"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Town Medical Supplies LLC
• Mycelium Pharmacy LLC
• Clayton Lee Myers
• Tracy G Myers, PH.D.
• Myeyedr Optometry of Florida, LLC
• Myndfull Care Management Florida PA
• Dean Allen Mynks, M.A.,C.P.R.P.
• Lisa Myrick, LPN
• Myself Discovery, LLC
• Myself Discovery, LLC

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.