Provider Demographics
NPI:1346583507
Name:PEACE OF MIND DELRAY BEACH INC
Entity Type:Organization
Organization Name:PEACE OF MIND DELRAY BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-272-5409
Mailing Address - Street 1:660 LINTON BLVD
Mailing Address - Street 2:SUITE 110A
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-8167
Mailing Address - Country:US
Mailing Address - Phone:561-272-5409
Mailing Address - Fax:
Practice Address - Street 1:660 LINTON BLVD
Practice Address - Street 2:SUITE 110A
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-8167
Practice Address - Country:US
Practice Address - Phone:561-272-5409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME103709261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service