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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for BRAIN AND SPINE INSTATE FOR CHILDREN

NPI # 1104166735
LBN Legal business name BRAIN AND SPINE INSTATE FOR CHILDREN
Authorized official KEYNE JOHNSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2013
Last updated 02/19/2013 - About 13 years ago
Identifiers
FL License # ME 102412
FL Medicaid 000384900
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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