Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mandala Family Wellness LLC

Organization Occupational Therapist · NPI 1063296754

Mandala Family Wellness LLC is an Occupational Therapist in Ponte Vedra Beach, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

171 Canal Blvd
Ponte Vedra Beach, FL 32082-3607
Phone: (904) 834-7581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1063296754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Delaney — Director Of Operations And Complian · (904) 373-0082
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing address171 Canal Blvd, Ponte Vedra Beach, FL 32082-3607

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