Organization · Type 2 NPI
Brandon Comprehensive Dermatology
Clinic/Center · Brandon, FL
NPI number
1912390212
Active
Practice location
116 S Montclair Ave
Brandon, FL 33511-5322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | OS7746 (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).
3 other providers at this address
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About NPI 1912390212
Brandon Comprehensive Dermatology's National Provider Identifier is 1912390212, issued on Mar 10, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brandon, FL. The record was last updated on Mar 10, 2015.