OrganizationBrain And Spine Institute For Children LlcNeurological SurgeryAllopathic & Osteopathic PhysiciansPractice Address25 W Kaley St, Suite 200, Orlando, FL 32806-2939(407) 255-2152PECOS EnrollmentBased on the most recent information from CMS, provider Brain And Spine Institute For Children Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1821339144Provider TypeOrganizationFull NameBrain And Spine Institute For Children LlcSubpartNoEnumeration Date3/12/2013Last Updated6/9/2013Contact InformationPractice LocationPractice Address25 W Kaley St, Suite 200, Orlando, FL 32806-2939Phone(407) 255-2152Fax(407) 264-8395Mailing LocationMailing Address25 W Kaley St, Suite 200, Orlando, FL 32806-2939Phone(407) 255-2152Fax(407) 264-8395Authorized OfficialNameJohnson, Keyne K (President/Owner)Phone(407) 378-5100Provider TaxonomiesCodeDescriptionLicenseCode207T00000XPrimaryDescriptionNeurological SurgeryAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer