Broward Institute of Neuro Science L L C

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BROWARD INSTITUTE OF NEURO SCIENCE L L C

Practice address

2601 W Lake Mary Blvd # 113&117
Lake Mary, FL 32746-3567

Phone

(407) 328-1005

Fax

(407) 328-1020

NPI assigned

Nov 5, 2021

Organization subpart

Yes

Parent organization

BROWARD INSTITUTE OF NEUROSCIENCE LLCAs reported in NPPES

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

Authorized official

Name

Ricardo Espaillat, MDNPI 1700838372

Title

Owner

Phone

(954) 346-8300

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Broward Institute of Neuro Science L L C3 organizations share this tax ID, including this one

Part of

Broward Institute of Neuro Science L L C

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Broward Institute of Neuro Science L L C

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1245429463
  NPD tax ID
• Broward Institute of Neuro Science L L C

  • Psychiatry Physician
  • Hialeah, FL
  • NPI 1427713296
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Espaillat, MD

  • Psychiatry Physician
  • Coral Springs, FL
  • NPI 1700838372
  NPD (past) Authorized official

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1326703190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 WILES RD STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672063",
            "telephone_number": "954-346-8300",
            "fax_number": "954-346-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W LAKE MARY BLVD # 113&117",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463567",
            "telephone_number": "407-328-1005",
            "fax_number": "407-328-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD INSTITUTE OF NEURO SCIENCE L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWARD INSTITUTE OF NEUROSCIENCE LLC",
        "enumeration_date": "2021-11-05",
        "last_updated": "2023-09-06",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ESPAILLAT",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-346-8300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmauricio@regahealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2601 W Lake Mary Blvd # 113&117",
            "city": "Lake Mary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327463567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Latavious Ron Brini
• Dawn Brinkley, PA-C
• Eric Dustin Brisbon
• Adrian Paul Britto
• Sarah Rose Brooks, DC
• Cynimen Brown
• Deborah A. Brown, CNM
• Elaine Sharper Brown
• Erica Brown
• Jessica Ashley Brown, MA, CCC-SLP

• Psychiatry Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.