Provider Demographics
NPI:1932891108
Name:MOSAIC WELLNESS. INC.
Entity Type:Organization
Organization Name:MOSAIC WELLNESS. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEFRANCESCO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-BC
Authorized Official - Phone:772-475-9045
Mailing Address - Street 1:73 INDIES RD
Mailing Address - Street 2:
Mailing Address - City:RAMROD KEY
Mailing Address - State:FL
Mailing Address - Zip Code:33042-5409
Mailing Address - Country:US
Mailing Address - Phone:772-475-9045
Mailing Address - Fax:561-214-4036
Practice Address - Street 1:73 INDIES RD
Practice Address - Street 2:
Practice Address - City:RAMROD KEY
Practice Address - State:FL
Practice Address - Zip Code:33042-5409
Practice Address - Country:US
Practice Address - Phone:772-475-9045
Practice Address - Fax:561-214-4036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty