Beneficent Mind & Body

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BENEFICENT MIND & BODY

Practice address

390 N Orange Ave Ste 2300-N
Orlando, FL 32801-1640

Phone

(424) 262-2627

Fax

(779) 204-2274

NPI assigned

May 21, 2022

Organization subpart

No

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

Authorized official

Name

Brooke Wacker, NPNPI 1033771563

Title

Nurse Practitioner

Phone

(424) 262-2627

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Wacker, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocoee, FL
  • NPI 1033771563
  NPD Authorized official

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1881332740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 SW 27TH AVE # 1045",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N ORANGE AVE STE 2300-N",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011640",
            "telephone_number": "424-262-2627",
            "fax_number": "779-204-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEFICENT MIND & BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-21",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "WACKER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "424-262-2627",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bender
• Renata Bendziene Flament, RPH
• Judith Benech
• Yenia Benech
• Raiza Benedetti
• Shaharazad Benejam, LMHC
• John A Beneke, MD
• Lourdes Benes Lima, MD
• Benescript Corp
• Jamirka Bengochea, MD

• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

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