Organization
BRAINCHEM CENTER LLC
Active
Other names
BRAINCHEM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVARISTO PLACEDES BADIOLA M.D. (MANAGING MEMBER)
(863) 646-7733
Entity
Organization
Contact information
Practice address
204 LAKE HARRIS DR, LAKELAND, FL 33813-2632
(863) 646-7733
(863) 646-7733
Mailing address
204 LAKE HARRIS DR, LAKELAND, FL 33813-2632
(863) 646-7733
(863) 646-7733
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0047939
FL
Other
Enumeration date
05/24/2006
Last updated
08/22/2020
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