| Brain Owl Telemedicine | |
|
4801 S Congress Ave Ste 304 Lake Worth FL 33461-4746 | |
| (561) 389-8424 | |
| (561) 964-5835 |
| Full Name | Brain Owl Telemedicine |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 4801 S Congress Ave Ste 304, Lake Worth, Florida |
| Authorized Official Name and Position | Yaniv Chen (CO-FOUNDER) |
| Authorized Official Contact | 9172385425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Owl Telemedicine 4801 S Congress Ave Ste 304 Lake Worth FL 33461-4746 Ph: (561) 389-8424 | Brain Owl Telemedicine 4801 S Congress Ave Ste 304 Lake Worth FL 33461-4746 Ph: (561) 389-8424 |
| NPI Number | 1558676254 |
|---|---|
| Provider Enumeration Date | 08/18/2010 |
| Last Update Date | 08/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558676254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME107327 (Florida) | Primary |
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