BRAIN AND SPINE INSTITUTE OF PORT ORANGE, LLC
NPI 1699016949
Psychiatry & Neurology - Neurology in Port Orange, FL
About Brain And Spine Institute Of Port Orange, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAIN AND SPINE INSTITUTE OF PORT ORANGE, LLC (NPI 1699016949) is a healthcare organization registered as a neurology in Port Orange, Florida and active in the NPI registry since March 2013. The organization lists Timothy Joseph Wierzbicki, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Identifiers 4
Group Practice 1
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2114491
- Facility Type
- Physician Office
- Certificate Effective Date
- June 15, 2024
- Certificate Expiration Date
- June 14, 2026
- Laboratory Director
- TIMOTHY J. WIERZBICKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brain And Spine Institute Of Port Orange, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
PORT ORANGE, FL 32127
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699016949, enumerated as an "organization" on March 12, 2013.
The provider is located at 1211 DUNLAWTON AVE PORT ORANGE, FL 32127 and the phone number is (386) 304-0111.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.
