TRAUMATIC BRAIN DIAGNOSTIC LLC NPI 1003431396

NPI Information

NPI: 1003431396
Provider Name: TRAUMATIC BRAIN DIAGNOSTIC, LLC
Classification: Psychiatry & Neurology - 2084P0301X
Entity Type: Organization

Specialization: Brain Injury Medicine

Address:
1814 WELLNESS LN
TRINITY, FL
ZIP 34655
Phone: (813) 450-8989
Get Directions

TRAUMATIC BRAIN DIAGNOSTIC, LLC is a brain injury medicine psychiatry neurology in Trinity, FL. The provider is a Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences. TRAUMATIC BRAIN DIAGNOSTIC, LLC NPI is 1003431396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1814 WELLNESS LN
TRINITY, FL
ZIP 34655-357
Phone: (813) 450-8989

The provider's authorized official is Caroline Adams .
The authorized official title is Account Administrator and has the following contact phone number (727) 203-1023.

The enumeration date for this NPI number is 6/11/2020 and was last updated on 6/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0301X	Psychiatry & Neurology	Brain Injury Medicine			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »