Provider Demographics
NPI:1598786402
Name:QUIET MINDS INCORPORATED
Entity Type:Organization
Organization Name:QUIET MINDS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:POITIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-895-3231
Mailing Address - Street 1:12955 BISCAYNE BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2022
Mailing Address - Country:US
Mailing Address - Phone:305-895-3231
Mailing Address - Fax:305-895-3271
Practice Address - Street 1:12955 BISCAYNE BLVD STE 320
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2022
Practice Address - Country:US
Practice Address - Phone:305-895-3231
Practice Address - Fax:305-895-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME387782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068929700Medicaid
FL94422Medicare ID - Type Unspecified