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Organization
TRAUMATIC BRAIN DIAGNOSTIC, LLC
Active
Organization
TRAUMATIC BRAIN DIAGNOSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE ADAMS (ACCOUNT ADMINISTRATOR)
(727) 203-1023
Entity
Organization
Contact information
Practice address
1814 WELLNESS LN, TRINITY, FL 34655-5357
(813) 450-8989
Mailing address
1814 WELLNESS LN, TRINITY, FL 34655-5357
(813) 450-8989
Taxonomy
Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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