MIND, BODY & MODERN MEDICINE, LLC
NPI 1912302787
Physician Assistant - Medical in Land O'lakes, FL

Q: What is Mind, Body & Modern Medicine, LLC's NPI number?

The NPI number for Mind, Body & Modern Medicine, LLC is 1912302787. It was assigned to this organization in the NPPES registry on October 23, 2014.

Q: What is Mind, Body & Modern Medicine, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since October 23, 2014

19401 SHUMARD OAK DR, CLARITY MEDSPA, LAND O'LAKES, FL 34638(727) 264-1364 Get Directions Write a Review

NPPES record last updated: October 23, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mind, Body & Modern Medicine, Llc NPPES

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

MIND, BODY & MODERN MEDICINE, LLC (NPI 1912302787) is a healthcare organization registered as a medical in Land O'lakes, Florida and active in the NPI registry since October 2014. The organization lists Faith I Bevan, Manager, as its authorized official.

NPPES Registry Identity

NPI1912302787

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameMIND, BODY & MODERN MEDICINE, LLC

Location Address19401 SHUMARD OAK DR, CLARITY MEDSPALand O'lakes, FL 34638

Mailing Address8341 Carolyn DrPort Richey, FL 34668-6210 · (727) 264-1364

Phone(727) 264-1364

Organization SubpartNo

Authorized OfficialFaith I BevanManager · (727) 992-3440

Enumeration DateOctober 23, 2014

✔ NPI 1912302787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · 9101970

19401 SHUMARD OAK DR, Land O'lakes, FL 34638

Open in Google Maps ↗

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 2

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

OAKSTEAD MEDICAL CENTER, LLC

Clinic/Center (Sleep Disorder Diagnostic)

19401 SHUMARD OAK DR
LAND O LAKES, FL 34638

Pasco County (813) 388-6818

FLORIDASLEEP LLC

Clinic/Center (Sleep Disorder Diagnostic)

19401 SHUMARD OAK DR
LAND O LAKES, FL 34638

Pasco County (813) 388-6815

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 Mind, Body & Modern Medicine, LLC's NPI number?

The NPI number for Mind, Body & Modern Medicine, LLC is 1912302787. It was assigned to this organization in the NPPES registry on October 23, 2014.

Where is Mind, Body & Modern Medicine, LLC located?

Mind, Body & Modern Medicine, LLC is located at 19401 Shumard Oak Dr Clarity Medspa, Land O'lakes, FL 34638. The listed phone number is (727) 264-1364.

What is Mind, Body & Modern Medicine, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mind, Body & Modern Medicine, LLC was last updated on October 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.