| Brain Resource Network Llc | |
|
2828 Casa Aloma Way Suite 200 Winter Park FL 32792-2223 | |
| (407) 592-9913 | |
| (407) 386-6085 |
| Full Name | Brain Resource Network Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2828 Casa Aloma Way, Winter Park, Florida |
| Authorized Official Name and Position | Gordon Joseph Horn (MEMBER) |
| Authorized Official Contact | 4075929913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Resource Network Llc 2828 Casa Aloma Way Suite 200 Winter Park FL 32792-2223 Ph: (407) 592-9913 | Brain Resource Network Llc 2828 Casa Aloma Way Suite 200 Winter Park FL 32792-2223 Ph: (407) 592-9913 |
| NPI Number | 1487896106 |
|---|---|
| Provider Enumeration Date | 03/26/2009 |
| Last Update Date | 03/26/2009 |
| Medicare PECOS PAC ID | 6406908722 |
|---|---|
| Medicare Enrollment ID | O20090717000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487896106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Gordon J Horn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609801521 PECOS PAC ID: 0345392650 Enrollment ID: I20090717000302 |
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