Organization

Mind, Body & Soul Psychiatry, P.A.

Psychiatry Physician in Boca Raton, FL(View on Map)

Legal Business Name

Mind, Body & Soul Psychiatry, P.A.

NPI Number

1740045004

NPI Type

Organization

Enumeration Date

02/15/2024

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

20984 UPTOWN AVE APT 105
20984 UPTOWN AVE APT 105

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33428-6579
33428-6579

Country

US
US

Telephone Number

(954) 546-2707
(954) 546-2707

Authorized Official

Name

Dr. Diana Glaccum-gavagni

Title or Position

OWNER/PSYCHIATRIST

Telephone Number

(954) 546-2707

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/15/2024

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