| Braintech Diagnostics Llc | |
|
515 E Las Olas Blvd Ste 120 Ft Lauderdale FL 33301-4261 | |
| (954) 304-5483 | |
| Not Available |
| Full Name | Braintech Diagnostics Llc |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 515 E Las Olas Blvd Ste 120, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Alex Lundy (CEO) |
| Authorized Official Contact | 9543045483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Braintech Diagnostics Llc 7385 Nw 68th Ave Parkland FL 33067-3914 Ph: (954) 304-5483 | Braintech Diagnostics Llc 515 E Las Olas Blvd Ste 120 Ft Lauderdale FL 33301-4261 Ph: (954) 304-5483 |
| NPI Number | 1366962037 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 06/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366962037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (Florida) | Primary |
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