Organization
FOCUS BRAIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAY HUSEBOE CH (CEO)
(954) 410-2999
Entity
Organization
Contact information
Practice address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(754) 778-8685
(954) 208-9854
Mailing address
10650 W STATE ROAD 84 STE 208, DAVIE, FL 33324-4235
(754) 778-8685
(954) 208-9854
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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