Traumatic Brain Diagnostic, Llc | |
1814 Wellness Ln Trinity FL 34655-5357 | |
(813) 450-8989 | |
Not Available |
Full Name | Traumatic Brain Diagnostic, Llc |
---|---|
Speciality | Psychiatry & Neurology - Brain Injury Medicine |
Location | 1814 Wellness Ln, Trinity, Florida |
Authorized Official Name and Position | Caroline Adams (ACCOUNT ADMINISTRATOR) |
Authorized Official Contact | 7272031023 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Traumatic Brain Diagnostic, Llc 1814 Wellness Ln Trinity FL 34655-5357 Ph: (813) 450-8989 | Traumatic Brain Diagnostic, Llc 1814 Wellness Ln Trinity FL 34655-5357 Ph: (813) 450-8989 |
NPI Number | 1003431396 |
---|---|
Provider Enumeration Date | 06/11/2020 |
Last Update Date | 06/11/2020 |
Certification Date | 06/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003431396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | (* (Not Available)) | Primary |
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