| Brainsport | |
|
2525 Burns Rd Palm Beach Gardens FL 33410-5204 | |
| (772) 337-7272 | |
| (772) 337-7734 |
| Full Name | Brainsport |
|---|---|
| Speciality | Psychiatry & Neurology - Sports Medicine |
| Location | 2525 Burns Rd, Palm Beach Gardens, Florida |
| Authorized Official Name and Position | Francis X Conidi (CEO) |
| Authorized Official Contact | 7723377272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainsport 2525 Burns Rd Palm Beach Gardens FL 33410-5204 Ph: (772) 337-7272 | Brainsport 2525 Burns Rd Palm Beach Gardens FL 33410-5204 Ph: (772) 337-7272 |
| NPI Number | 1154960573 |
|---|---|
| Provider Enumeration Date | 01/02/2020 |
| Last Update Date | 01/02/2020 |
| Certification Date | 01/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154960573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0010X | Psychiatry & Neurology - Sports Medicine | (* (Not Available)) | Primary |
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