Brain And Spine Institute Of Port Orange, Llc
LBN: Brain And Spine Institute Of Port Orange, Llc
Brain And Spine Institute Of Port Orange, Llc is an health care organization with primary practice located at 1211 Dunlawton Ave , Port Orange FL 32127-2913. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as the primary health care specialty.
Brain And Spine Institute Of Port Orange, Llc can be contacted via phone (386) 304-0111, or through Wierzbicki, Timothy Joseph via phone (386) 304-0111.
Contact Information
Primary practice address
1211 Dunlawton Ave
Port Orange FL 32127-2913
Phone: (386) 304-0111
Fax:
Website:
Authorized official contact:
Name: Wierzbicki, Timothy Joseph Doctor of Medicine (MD)
Phone: (386) 304-0111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME80334 | Florida |
Profile Details
| NPI number | 1699016949 |
|---|---|
| LBN Legal business name | Brain And Spine Institute Of Port Orange, Llc |
| DBA Doing business as | |
| Authorized official | Wierzbicki, Timothy Joseph Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Mar 15th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699016949 | NPPES |
| Florida | MEDICAID | 259058100 | |
| Florida | Other | 130022355 |
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