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Organization

RADIUS TBI OF SOUTH FLORIDA

Active
Other names
Radius TBI
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN MEVORAH DC (CEO)
(954) 471-2133
Entity
Organization

Contact information

Practice address
4330 W BROWARD BLVD STE G, PLANTATION, FL 33317-3753
(954) 598-0779
Mailing address
4330 W BROWARD BLVD STE G, PLANTATION, FL 33317-3753
(954) 598-0779

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346605011
NPI
FL
Enumeration date
08/04/2017
Last updated
07/21/2022
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