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Organization
RADIUS TBI OF SOUTH FLORIDA
Active
Organization
RADIUS TBI OF SOUTH FLORIDA
Active
Other names
Radius TBI
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MEVORAH DC (CEO)
(954) 471-2133
Entity
Organization
Contact information
Practice address
4330 W BROWARD BLVD STE G, PLANTATION, FL 33317-3753
(954) 598-0779
Mailing address
4330 W BROWARD BLVD STE G, PLANTATION, FL 33317-3753
(954) 598-0779
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346605011
NPI
FL
Enumeration date
08/04/2017
Last updated
07/21/2022
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