| Brain Training Center Of The Treasure Coast | |
|
499 Nw Prima Vista Blvd Suite 101 Port Saint Lucie FL 34983-8786 | |
| (772) 408-0096 | |
| (772) 408-8167 |
| Full Name | Brain Training Center Of The Treasure Coast |
|---|---|
| Speciality | Clinic/center |
| Location | 499 Nw Prima Vista Blvd, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Lisa Melaine Rankin (PRESIDENT) |
| Authorized Official Contact | 7724080096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Training Center Of The Treasure Coast 499 Nw Prima Vista Blvd Suite 101 Port Saint Lucie FL 34983-8786 Ph: (772) 408-0096 | Brain Training Center Of The Treasure Coast 499 Nw Prima Vista Blvd Suite 101 Port Saint Lucie FL 34983-8786 Ph: (772) 408-0096 |
| NPI Number | 1326362179 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326362179 | NPI | - | NPPES |
| 1720012438 | Other | FL | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME004325 (Florida) | Primary |
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