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Mind, Body & Modern Medicine, LLC

Medical Physician Assistant in Land O'Lakes, FL · enumerated 2014 · authorized official Faith Bevan, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912302787

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Registry record

Entity type Organization (Type 2)
Legal business name Mind, Body & Modern Medicine, LLC
Practice address 19401 Shumard Oak Dr, Clarity Medspa, Land O'Lakes, FL, 34638
Phone (727) 264-1364
Enumeration date Oct 23, 2014
Last updated in NPPES Oct 23, 2014

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 9101970 (FL) Primary

Authorized official

Name Faith Bevan
Title Manager
Phone (727) 992-3440

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Mind, Body & Modern Medicine, LLC?
Mind, Body & Modern Medicine, LLC is registered in NPPES as a Medical Physician Assistant (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-23.