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Contact Information

TRAUMATIC BRAIN DIAGNOSTIC, LLC
1814 WELLNESS LN
TRINITY, FL34655-5357
 Phone: 813-450-8989
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2084P0301X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for TRAUMATIC BRAIN DIAGNOSTIC LLC · (Female)

NPI Number 1003431396
Status Active
Credentials
Entity Individual
Enumeration date 06/11/2020
Last updated 06/11/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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