BRAINSPORT NPI 1154960573

NPI Information

NPI: 1154960573
Provider Name: BRAINSPORT
Classification: Psychiatry & Neurology - 2084S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
2525 BURNS RD
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (772) 337-7272
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BRAINSPORT is a sports medicine psychiatry neurology in Palm Beach Gardens, FL. The provider is a psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries. BRAINSPORT NPI is 1154960573. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2525 BURNS RD
PALM BEACH GARDENS, FL
ZIP 33410-204
Phone: (772) 337-7272
Fax: (772) 337-7734

The provider's authorized official is Francis X Conidi .
The authorized official title is Ceo and has the following contact phone number (772) 337-7272.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 1/2/2020.

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	2084S0010X	Psychiatry & Neurology	Sports 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: 4/28/2024

NPI Synchronization or Removal

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