Provider Demographics
NPI:1962756650
Name:WEMIND INSTITUTE P.A,
Entity type:Organization
Organization Name:WEMIND INSTITUTE P.A,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELZA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASCONCELLOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-671-3654
Mailing Address - Street 1:1695 NW 110TH AVE STE 317
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1930
Mailing Address - Country:US
Mailing Address - Phone:305-671-3654
Mailing Address - Fax:305-459-3242
Practice Address - Street 1:1695 NW 110TH AVE STE 317
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-1930
Practice Address - Country:US
Practice Address - Phone:305-671-3654
Practice Address - Fax:305-459-3242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77405261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty