National Provider Identifier Database

BRAIN AND SPINE INSTATE FOR CHILDREN
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BRAIN AND SPINE INSTATE FOR CHILDREN
2813 S HIAWASSEE RD
SUITE 201
ORLANDO, FL32835-6300
Phone: 407-378-5100
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for BRAIN AND SPINE INSTATE FOR CHILDREN

NPI Number 1104166735
Legal business name
LBN
BRAIN AND SPINE INSTATE FOR CHILDREN
Authorized official KEYNE JOHNSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 02/19/2013
Last updated 02/19/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: ME 102412
  • FL Medicaid: 000384900

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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