Braintech Diagnostics Llc | |
515 E Las Olas Blvd Ste 120 Ft Lauderdale FL 33301-4261 | |
(954) 304-5483 | |
Not Available |
Full Name | Braintech Diagnostics Llc |
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Speciality | Clinic/center - Health Service |
Location | 515 E Las Olas Blvd Ste 120, Ft Lauderdale, Florida |
Authorized Official Name and Position | Alex Lundy (CEO) |
Authorized Official Contact | 9543045483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Braintech Diagnostics Llc 7385 Nw 68th Ave Parkland FL 33067-3914 Ph: (954) 304-5483 | Braintech Diagnostics Llc 515 E Las Olas Blvd Ste 120 Ft Lauderdale FL 33301-4261 Ph: (954) 304-5483 |
NPI Number | 1366962037 |
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Provider Enumeration Date | 06/23/2017 |
Last Update Date | 06/23/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366962037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Florida) | Secondary |
261QH0100X | Clinic/center - Health Service | (Florida) | Primary |
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