Provider Type Icon

BRAIN OWL TELEMEDICINE LLC NPI 1558676254


NPI Information

NPI: 1558676254
Provider Name: BRAIN OWL TELEMEDICINE LLC

Other Name: BRAIN OWL TELEMEDICINE

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4801 S CONGRESS AVE STE 304
LAKE WORTH, FL
ZIP 33461
Phone: (561) 389-8424
Get Directions

BRAIN OWL TELEMEDICINE LLC is a neurology psychiatry neurology in Lake Worth, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BRAIN OWL TELEMEDICINE LLC NPI is 1558676254. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Brain Owl Telemedicine.

The provider's business location address is:

4801 S CONGRESS AVE STE 304
LAKE WORTH, FL
ZIP 33461-746
Phone: (561) 389-8424
Fax: (561) 964-5835

The provider's authorized official is Yaniv Chen .
The authorized official title is Co-founder and has the following contact phone number (917) 238-5425.

The enumeration date for this NPI number is 8/18/2010 and was last updated on 8/18/2010.


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
12084N0400XPsychiatry & NeurologyNeurologyME107327FLORIDAYes

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

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.