Mind, Body & Modern Medicine, LLC
NPI 1912302787 · Medical Physician Assistant · Land O'Lakes, FL
Mind, Body & Modern Medicine, LLC is a Medical Physician Assistant organization in Land O'Lakes, FL (NPI 1912302787).
Provider details
- NPI number
- 1912302787
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Faith Bevan, Manager(727) 992-3440
- License
- 9101970 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2014-10-23
Frequently asked questions
- What is Mind, Body & Modern Medicine, LLC's NPI number?
- Mind, Body & Modern Medicine, LLC's National Provider Identifier (NPI) is 1912302787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mind, Body & Modern Medicine, LLC?
- Mind, Body & Modern Medicine, LLC is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mind, Body & Modern Medicine, LLC located?
- Mind, Body & Modern Medicine, LLC's practice location on file with NPPES is 19401 Shumard Oak Dr, Land O'Lakes, FL 34638.
- What is Mind, Body & Modern Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mind, Body & Modern Medicine, LLC is (727) 264-1364.
- Who is the authorized official for Mind, Body & Modern Medicine, LLC?
- The authorized official listed on Mind, Body & Modern Medicine, LLC's NPPES record is Faith Bevan, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mind, Body & Modern Medicine, LLC's NPI active?
- Yes — Mind, Body & Modern Medicine, LLC's NPI (1912302787) is active in the NPPES registry as of the last update on 2014-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.