Biocore Therapeutics, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BIOCORE THERAPEUTICS, LLC

Practice address

29 W Smith St
Winter Garden, FL 34787-3582

Phone

(407) 307-1510

NPI assigned

Dec 20, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Wayne Luczywo

Title

Practice Manager

Phone

(407) 307-1511

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757116800000",
    "number": "1205548450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W SMITH ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873582",
            "telephone_number": "407-307-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W SMITH ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873582",
            "telephone_number": "407-307-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOCORE THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A",
        "authorized_official_last_name": "LUCZYWO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "407-307-1511"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haiden D Berube
• Shainna Bey, LCSW
• Vashwattie Bhola, M.S., BCBA
• Corrie Marie Bigi, APRN
• Mary Anne Binkley, P.T.
• Helene Black, RN, APRN
• Erin Renee Blackburn, APRN
• Nicole Blahut
• Lauren Elyse Blair, L.M.T
• Blizzard Psychiatric Enterprises, Inc (Blizzard Psychiatry)

• Clinic/Center in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.