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Organization

TRAUMATIC BRAIN DIAGNOSTICS USA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GAIRY JOHNSON (MANAGING PARTNER)
(678) 203-8802
Entity
Organization

Contact information

Practice address
1000 LEGION PL STE 1200, ORLANDO, FL 32801-1005
(678) 203-8802
Mailing address
1000 LEGION PL STE 1200, ORLANDO, FL 32801-1005

Taxonomy

Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary

Other

Enumeration date
04/11/2022
Last updated
04/11/2022
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