Organization
BRAIN TRAINING CENTER OF THE TREASURE COAST
Active
Organization
BRAIN TRAINING CENTER OF THE TREASURE COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MELAINE RANKIN M.D. (PRESIDENT)
(772) 408-0096
Entity
Organization
Contact information
Practice address
499 NW PRIMA VISTA BLVD, SUITE 101, PORT SAINT LUCIE, FL 34983-8786
(772) 408-0096
(772) 408-8167
Mailing address
499 NW PRIMA VISTA BLVD, SUITE 101, PORT SAINT LUCIE, FL 34983-8786
(772) 408-0096
(772) 408-8167
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME004325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720012438
PERSONAL NPI
FL
Enumeration date
03/23/2010
Last updated
03/23/2010
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