Brain Training Center Of The Treasure Coast | |
499 Nw Prima Vista Blvd Suite 101 Port Saint Lucie FL 34983-8786 | |
(772) 408-0096 | |
(772) 408-8167 |
Full Name | Brain Training Center Of The Treasure Coast |
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Speciality | Clinic/center |
Location | 499 Nw Prima Vista Blvd, Port Saint Lucie, Florida |
Authorized Official Name and Position | Lisa Melaine Rankin (PRESIDENT) |
Authorized Official Contact | 7724080096 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brain Training Center Of The Treasure Coast 499 Nw Prima Vista Blvd Suite 101 Port Saint Lucie FL 34983-8786 Ph: (772) 408-0096 | Brain Training Center Of The Treasure Coast 499 Nw Prima Vista Blvd Suite 101 Port Saint Lucie FL 34983-8786 Ph: (772) 408-0096 |
NPI Number | 1326362179 |
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Provider Enumeration Date | 03/23/2010 |
Last Update Date | 03/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326362179 | NPI | - | NPPES |
1720012438 | Other | FL | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | ME004325 (Florida) | Primary |
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