Brain and Spine Instate for Children
Brain and Spine Instate for Children is a Preferred Provider Organization in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
Practice location Address checks out
2813 S Hiawassee Rd Ste 201Orlando, FL 32835-6300
Phone: (407) 378-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence ME 102412 (FL) |
|---|
Record details
| NPI number | 1104166735 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Keyne Johnson — Medical Director · (407) 378-5100 |
| Other names | Basic |
| NPI enumerated | February 19, 2013 |
| Last updated in NPPES | February 19, 2013 |
| Mailing address | 2813 S Hiawassee Rd, Suite 201, Orlando, FL 32835-6300 |
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