Mind Body Spirit, Reformers LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MIND BODY SPIRIT, REFORMERS LLC

Practice address

4143 S Pine Island Rd
Davie, FL 33328-2831

Phone

(954) 802-9835

NPI assigned

Dec 13, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Bertha L Osorio-Campbell, APRN

Title

Owner

Phone

(954) 802-9835

Specialties & licenses 1

Addresses

Other names 1

• Institute for Optimal Healing & Aesthetics Doing business as

Locations

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1609462738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282831",
            "telephone_number": "954-802-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 S PINE ISLAND RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282831",
            "telephone_number": "954-802-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY SPIRIT, REFORMERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "OSORIO-CAMPBELL",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-802-9835",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Optimal Healing & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Milligen-Lee
• Victor Mills
• David Milner, M.D.
• Lyle Howard Milstein
• Minari Dialysis LLC
• Mind Body Therapy Studio
• Mindful Lotus Therapy Inc
• Calista Siobhan Ming, O.D.
• Arielle Mingo
• Alda Maria Sousa Minozzo, LMHC

• Family Nurse Practitioner in Davie, FL
• Providers in Davie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; 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.