Provider Demographics
NPI:1902684327
Name:THEMA BRAIN HEALTH FLORIDA LLC
Entity Type:Organization
Organization Name:THEMA BRAIN HEALTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-918-0002
Mailing Address - Street 1:3998 FAU BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6429
Mailing Address - Country:US
Mailing Address - Phone:561-918-0002
Mailing Address - Fax:
Practice Address - Street 1:3998 FAU BLVD STE 120
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6429
Practice Address - Country:US
Practice Address - Phone:561-918-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty