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MMJ MINDFUL WELLNESS LLC
NPI 1215811187
Nurse Practitioner - Psychiatric/Mental Health in Coral Gables, FL

Active since August 04, 2025
1172 S DIXIE HWY, CORAL GABLES, FL 33146(305) 914-0386 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mmj Mindful Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MMJ MINDFUL WELLNESS LLC (NPI 1215811187) is a healthcare organization registered as a psychiatric/mental health in Coral Gables, Florida and active in the NPI registry since August 2025. The organization lists Jessica Lazo, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1215811187
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMMJ MINDFUL WELLNESS LLC
Location Address1172 S DIXIE HWYCoral Gables, FL 33146-2918
Mailing Address1172 S Dixie HwyCoral Gables, FL 33146-2918 · (305) 914-0386 · Fax (305) 914-0388
Phone(305) 914-0386
Organization SubpartNo
Authorized OfficialJessica LazoPmhnp · (786) 531-6462
Enumeration DateAugust 4, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1215811187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1172 S DIXIE HWY, Coral Gables, FL 33146
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HORTENSIA VALERON MD PA
Psychiatry & Neurology (Psychosomatic Medicine)
1172 S DIXIE HWY, #411
CORAL GABLES, FL 33146
Miami-Dade County (407) 247-3099
DR. ANDREA MAGGIONI MD
Pediatrics
1172 S DIXIE HWY, #275
CORAL GABLES, FL 33146
Miami-Dade County (305) 219-9022
ERYN KEFFE APANOVITCH PT
Physical Therapist
1172 S DIXIE HWY, #530
CORAL GABLES, FL 33146
Miami-Dade County (305) 381-6224
VIR GROUP SERVICE INC
Clinic/Center
1172 S DIXIE HWY, SUITE 145
CORAL GABLES, FL 33146
Miami-Dade County (786) 718-8927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mmj Mindful Wellness LLC's NPI number?

The NPI number for Mmj Mindful Wellness LLC is 1215811187. It was assigned to this organization in the NPPES registry on August 4, 2025.

Where is Mmj Mindful Wellness LLC located?

Mmj Mindful Wellness LLC is located at 1172 S Dixie Hwy, Coral Gables, FL 33146. The listed phone number is (305) 914-0386.

What is Mmj Mindful Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mmj Mindful Wellness LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.