Integrated Mind Medicine

Psychiatry · Hollywood, FL

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At a glance

1946 Tyler St, Hollywood, FL 33020-4517

NPPES record updated Apr 8, 2015. Public records can lag behind changes at a practice.

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Practice location

1946 Tyler St Suite 14
Hollywood, FL 33020-4517

Professional details: NPI, taxonomy & registry record

NPI1730575549

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Registry details

Primary taxonomy: Psychiatry
Taxonomy code: 2084P0800X
Enumeration date: Apr 8, 2015
Record updated: Apr 8, 2015

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Psychiatry

2084P0800X · Primary

License reported: ME121955 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1946 Tyler St
Suite 14
Hollywood, FL 33020-4517

Phone: (754) 210-5359
Fax: (754) 210-5363

Mailing address

1946 TYLER ST
SUITE 14
HOLLYWOOD, FL 330204517

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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