# BRAIN AND SPINE NEUROSCIENCE INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1881179885
- **Authorized official:** JUDY SOLIMAN (PRACTICE MANAGER)
- **Authorized official phone:** (813) 336-4461

## Contact information

- **Practice address:** 4728 N HABANA AVE STE 202, TAMPA, FL 33614-7147
- **Practice address phone:** (727) 312-4844
- **Practice address fax:** (727) 312-4841
- **Mailing address:** 3519 PALM HARBOR BLVD STE B, PALM HARBOR, FL 34683-1416
- **Mailing address phone:** (813) 336-4461
- **Mailing address fax:** (813) 336-4466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2018
- **Last updated:** 11/14/2023