Organization
BRAINTECH DIAGNOSTICS LLC
Active
Organization
BRAINTECH DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX LUNDY (CEO)
(954) 304-5483
Entity
Organization
Contact information
Practice address
515 E LAS OLAS BLVD STE 120, FT LAUDERDALE, FL 33301-4261
(954) 304-5483
Mailing address
7385 NW 68TH AVE, PARKLAND, FL 33067-3914
(954) 304-5483
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
FL
261QH0100X
Health Service Clinic/Center
Primary
—
FL
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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