Brain And Spine Institute Of Port Orange, Llc is a Neurology Clinic in Port Orange, Florida. It is located at 1211 Dunlawton Ave, Port Orange, FL and its contact number is 386-304-0111. The authorized person for Brain And Spine Institute Of Port Orange, Llc is Dr. Timothy Joseph Wierzbicki
who is Ceo of the clinic and his/her contact number is 386-304-0111. The primary license number for Brain And Spine Institute Of Port Orange, Llc is ME80334 (Neurology) in Florida. Brain And Spine Institute Of Port Orange, Llc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Brain And Spine Institute Of Port Orange, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Brain And Spine Institute Of Port Orange, Llc
Specialization:
Neurology
Clinic Address:
1211 Dunlawton Ave, Port Orange, Florida, 32127-2913
Phone:
386-304-0111
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Timothy Joseph Wierzbicki
Position:
Ceo
Contact Number:
386-304-0111
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brain And Spine Institute Of Port Orange, Llc clinic are as mentioned below.
NPI Number:
1699016949
NPI Enumeration Date:
12 Mar, 2013
NPI Last Update On:
15 Mar, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brain And Spine Institute Of Port Orange, Llc are as mentioned below.
Specialization
License Number
State
Status
Neurology
ME80334
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
259058100
Medicaid
Florida
130022355
Other
Florida
Medicare Railroad
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Brain And Spine Institute Of Port Orange, Llc 1211 Dunlawton Ave, Port Orange, Florida
Zip:
32127-2913
Phone Number:
386-304-0111
Patients can reach Brain And Spine Institute Of Port Orange, Llc at 1211 Dunlawton Ave, Port Orange, Florida or can call to book an appointment on 386-304-0111. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.