Organization
THE BRAIN FACTORY LLC
Active
Organization
THE BRAIN FACTORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SHORTRIDGE (PRESIDENT)
(407) 375-7871
Entity
Organization
Contact information
Practice address
7575 DR PHILLIPS BLVD STE 120, ORLANDO, FL 32819-7221
(407) 375-7871
(407) 209-3503
Mailing address
1110 SW IVANHOE BLVD, #2, ORLANDO, FL 32804-6305
(407) 375-7871
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OT 00544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 00544
OT LICENSE
FL
Enumeration date
03/19/2013
Last updated
03/19/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up