Brain and Spine LLC
NPI #1942317896 in Panama City, Florida
Provider Information
- NPI Number
- 1942317896
- Entity Type
- Organization
- Organization Name
- Brain and Spine LLC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Aug 25, 2006
- Last Updated
- May 1, 2023
Practice Location
- Address
- 2202 STATE AVE STE 201
- City
- Panama City
- State
- Florida
- ZIP Code
- 32405-4582
- Phone
- (850) 785-0029
Authorized Official
- Name
- KYLIE M MARLETTE
- Title
- CREDENTIALING SPECIALIST
- Phone
- (850) 215-1593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Psychiatry & Neurology - Neurology — Neurology |
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