MIND, BODY & MODERN MEDICINE, LLC – Medical Physician Assistant, NPI 1912302787

MIND, BODY & MODERN MEDICINE, LLC is a healthcare provider. based in Port richey, Florida. specializing in Medical Physician Assistant. The organization holds a License No. 9101970 (FL). The NPI Number for MIND, BODY & MODERN MEDICINE, LLC is 1912302787

Main info

Organization
Name
MIND, BODY & MODERN MEDICINE, LLC
NPI
1912302787
Phone
(727) 264-1364
Address
8341 CAROLYN DR
Authorized Official
MS. FAITH I BEVAN MANAGER PA-C
Enumeration Date
23 October 2014
Last Update Date
23 October 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for MIND, BODY & MODERN MEDICINE, LLC

  • 8341 CAROLYN DR

    PORT RICHEY, FL 346686210

    Phone: (727) 264-1364

    Type: Mailing

  • 19401 SHUMARD OAK DR

    CLARITY MEDSPA

    LAND O'LAKES, FL 34638

    Phone: (727) 264-1364

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34668)

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Reviews

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Frequently asked questions

What NPI should I save for MIND, BODY & MODERN MEDICINE, LLC?
Save NPI 1912302787 if you need a stable reference for MIND, BODY & MODERN MEDICINE, LLC.
Does this profile mean MIND, BODY & MODERN MEDICINE, LLC is currently active?
Yes — MIND, BODY & MODERN MEDICINE, LLC appears active in the national provider directory.
Can you summarize MIND, BODY & MODERN MEDICINE, LLC's specialty in plain language?
Clinically, the directory lists MIND, BODY & MODERN MEDICINE, LLC with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MIND, BODY & MODERN MEDICINE, LLC practice in Florida?
You will see Port Richey, Florida on file for MIND, BODY & MODERN MEDICINE, LLC alongside any extra practice locations.
Is MIND, BODY & MODERN MEDICINE, LLC a real provider?
This page reflects official NPPES data for NPI 1912302787. Always confirm identity and privileges with the practice and licensing boards.

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