Organization
BRAINCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE SHOCK R.EEGT / MBA (SR DIRECTOR OF OPERATIONS)
(866) 848-2522
Entity
Organization
Contact information
Practice address
12301 LAKE UNDERHILL RD STE 201, ORLANDO, FL 32828-4511
(866) 848-2522
(877) 290-1544
Mailing address
2670 FIREWHEEL DR, STE B, FLOWER MOUND, TX 75028-4601
(866) 848-2522
(877) 290-1544
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
03/29/2018
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