Organization
BROWARD INSTITUTE OF NEURO SCIENCE L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO K ESPAILLAT MD (CLINICAL DIRECTOR/CHAIRMAN)
(954) 341-1022
Entity
Organization
Contact information
Practice address
7501 WILES RD STE 105, CORAL SPRINGS, FL 33067-2063
(954) 341-1022
(954) 341-1082
Mailing address
7501 WILES RD STE 105, CORAL SPRINGS, FL 33067-2063
(954) 341-1022
(954) 341-1082
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
BE8849854
FL
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
11/05/2021
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