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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

NPI # 1003431396
LBN Legal business name TRAUMATIC BRAIN DIAGNOSTIC, LLC
Authorized official CAROLINE ADAMS - (ACCOUNT ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2020
Last updated 06/11/2020 - About 6 years ago
Identifiers n/a
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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