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Contact Information

THE BRAIN SPA, LLC
210 JUPITER LAKES BLVD STE 3102
JUPITER, FL33458
 Phone: 561-406-6561
 Fax: 561-406-6629
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for THE BRAIN SPA, LLC

NPI Number 1063907517
LBN Legal business name THE BRAIN SPA, LLC
Authorized official EDWARD BARIAS - (MEDICAL DIRECTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/27/2018
Last updated 08/30/2018 - More than a year ago
Identifiers
FL License # ME119718
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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