Organization · Type 2 NPI

Brenda Deforrest Od PA

Clinic/Center · Orlando, FL

NPI number 1477733780 Active

Practice location

5006 Dr Phillips Blvd
Orlando, FL 32819-3310

Call (407) 289-8819 Map

Fax (407) 296-7121

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XFL2617 (FL)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1477733780

Brenda Deforrest Od PA's National Provider Identifier is 1477733780, issued on Nov 5, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Orlando, FL. The record was last updated on Aug 4, 2025.