| 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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