NPI 1316398787
Braincare, LLC
Practice location
- Address
- 12301 Lake Underhill Rd STE 201, Orlando, FL 32828-4511
- Phone
- (866) 848-2522
- Fax
- (877) 290-1544
- Mailing address
- 2670 Firewheel Dr STE B, Flower Mound, TX 75028-4601
Authorised official
- Name
- Janice Shock
- Title
- Sr Director of Operations
- Phone
- (866) 848-2522
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1316398787
- Entity type
- Organization
- NPI issued
- 28 Jun 2016
- Record last updated
- 29 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.