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Brain Training Center Of The Treasure Coast

Clinic/Center in Port Saint Lucie, FL. Organization (NPI-2).

NPI number1326362179
StatusActive
Last updated in NPPESMar 23, 2010

Details

NPI
1326362179
Entity type
Organization (NPI-2)
Legal business name
Brain Training Center Of The Treasure Coast
Organization subpart
No
Enumeration date
Mar 23, 2010
Last updated
Mar 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Centerme004325FLYes

Practice location

499 Nw Prima Vista Blvd
Suite 101
Port Saint Lucie, FL 34983-8786

Phone 772-408-0096 · Fax 772-408-8167

Mailing address

499 Nw Prima Vista Blvd
Suite 101
Port Saint Lucie, FL 34983-8786

Phone 772-408-0096 · Fax 772-408-8167

Authorized official

Lisa Melaine Rankin
President
7724080096

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