BRAIN AND SPINE INSTITUTE OF PORT ORANGE, LLC is a neurology psychiatry neurology in Port Orange, 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 AND SPINE INSTITUTE OF PORT ORANGE, LLC NPI is 1699016949. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1211 DUNLAWTON AVE
PORT ORANGE, FL
ZIP 32127-913
Phone: (386) 304-0111
The provider's authorized official is Timothy Joseph Wierzbicki .
The authorized official title is Ceo and has the following contact phone number (386) 304-0111.
The CLIA number assigned to this NPI record is 10D2114491 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/12/2013 and was last updated on 3/15/2013.