# BIOCELLULAR THERAPIES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659841914
- **Authorized official:** MR. JAMES EAKER (PRESIDENT)
- **Authorized official phone:** (321) 435-1505

## Contact information

- **Practice address:** 2290 W EAU GALLIE BLVD STE 210B, MELBOURNE, FL 32935-3145
- **Practice address phone:** (321) 435-1505
- **Practice address fax:** (321) 253-2700
- **Mailing address:** 2290 W EAU GALLIE BLVD STE 210B, MELBOURNE, FL 32935-3145
- **Mailing address phone:** (321) 435-1505
- **Mailing address fax:** (321) 253-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2018
- **Last updated:** 11/29/2018
