Provider Demographics
NPI:1669148607
Name:EMINDFUL, LLC
Entity type:Organization
Organization Name:EMINDFUL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMPLIANCE AND SECURITY
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:NIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-417-8800
Mailing Address - Street 1:11315 CORPORATE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-8345
Mailing Address - Country:US
Mailing Address - Phone:855-211-1529
Mailing Address - Fax:
Practice Address - Street 1:11315 CORPORATE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-8345
Practice Address - Country:US
Practice Address - Phone:855-211-1529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NS412, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-19
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty