Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brain and Spine Institute of Port Orange, LLC

Organization Neurology Physician · NPI 1699016949

Brain and Spine Institute of Port Orange, LLC provides Neurology Physician services in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1211 Dunlawton Ave
Port Orange, FL 32127-2913 Not confirmed with CMS for 13 years — call before visiting
Phone: (386) 304-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME80334 (FL)

Record details

NPI number1699016949
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Wierzbicki — Ceo · (386) 304-0111
NPI enumeratedMarch 12, 2013
Last updated in NPPESMarch 15, 2013
Mailing address1211 Dunlawton Ave, Port Orange, FL 32127-2913

Other providers in Port Orange