Organization · Type 2 NPI
The Brain Factory LLC
Clinic/Center · Orlando, FL
NPI number
1164764049
Active
Practice location
7575 Dr Phillips Blvd Ste 120
Orlando, FL 32819-7221
Fax (407) 209-3503
Mailing address
1110 SW Ivanhoe Blvd, #2
Orlando, FL 32804-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | OT 00544 (FL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
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About NPI 1164764049
The Brain Factory LLC's National Provider Identifier is 1164764049, issued on Mar 19, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Orlando, FL. The record was last updated on Mar 19, 2013.