BRAIN AND SPINE LLC NPI 1942317896

NPI Information

  • NPI: 1942317896
  • Provider Name: BRAIN AND SPINE LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Doing Business As: BRAIN AND SPINE SPECIALISTS
  • Address: 2202 STATE AVE STE 201
    PANAMA CITY, FL
    ZIP 32405
  • Phone: (850) 785-0029

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NPI Details

BRAIN AND SPINE LLC is a neurology psychiatry neurology in Panama City, 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 LLC NPI is 1942317896. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brain And Spine Specialists.

The provider's business location address is:

2202 STATE AVE STE 201
PANAMA CITY, FL
ZIP 32405-582
Phone: (850) 785-0029
Fax: (850) 785-7600

The provider's authorized official is Kylie M Marlette .
The authorized official title is Credentialing Specialist and has the following contact phone number (850) 215-1593.

The enumeration date for this NPI number is 8/25/2006 and was last updated on 5/1/2023.

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
1174400000XSpecialistNo
22084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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