<Unavail>

LBN: Peace Of Mind--Beachside
<Unavail> is an health care organization with primary practice located at 198 Vining Ct # 5 , Ormond Beach FL 32176-6658. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Peace Of Mind--Beachside can be contacted via phone (386) 256-5553, or through Gad, Melissa via phone (386) 262-5197.

Contact Information

Primary practice address
198 Vining Ct # 5 Ormond Beach FL 32176-6658
Fax: (386) 256-5553
Website:
Authorized official contact:
Name: Gad, Melissa Advanced Practice Registered Nurse (APRN)

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9355262 Florida

Profile Details

NPI number 1063919637
LBN Legal business name Peace Of Mind--Beachside
DBA Doing business as <Unavail>
Authorized official Gad, Melissa Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2018
Last updated Apr 10th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063919637 NPPES
Florida MEDICAID 696567

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