| Broward Institute Of Neuro Science L L C | |
|
2601 W Lake Mary Blvd # 113&117 Lake Mary FL 32746-3567 | |
| (407) 328-1005 | |
| (407) 328-1020 |
| Full Name | Broward Institute Of Neuro Science L L C |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2601 W Lake Mary Blvd # 113&117, Lake Mary, Florida |
| Authorized Official Name and Position | Ricardo Espaillat (OWNER) |
| Authorized Official Contact | 9543468300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Institute Of Neuro Science L L C 7501 Wiles Rd Ste 105 Coral Springs FL 33067-2063 Ph: (954) 346-8300 | Broward Institute Of Neuro Science L L C 2601 W Lake Mary Blvd # 113&117 Lake Mary FL 32746-3567 Ph: (407) 328-1005 |
| NPI Number | 1326703190 |
|---|---|
| Provider Enumeration Date | 11/05/2021 |
| Last Update Date | 09/06/2023 |
| Certification Date | 11/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326703190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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