MEDICARE: THE BRAIN AND SPINE INSTITUTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME88243	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699114074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BRAIN AND SPINE INSTITUTE INC

Provider Business Mailing Address
First Line	:	5 HARVARD CIR
Second Line	:	SUITE 104
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1979
Country	:	US
Telephone Number	:	561-603-6652
Fax Number	:	888-563-9455

Provider Business Practice Location Address
First Line	:	5 HARVARD CIR
Second Line	:	SUITE 104
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1979
Country	:	US
Telephone Number	:	561-603-6652
Fax Number	:	888-563-9455

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. YONAS ZEGEYE
Credential	:	M.D.
Telephone Number	:	561-603-6652

Provider Enumeration Date	:	06/19/2013
Last Update Date	:	01/22/2016

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Directions to “THE BRAIN AND SPINE INSTITUTE INC ” Practice Location

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