Individual provider · Type 1 NPI

Clark Douglas Brandt, PA-C

Surgical Physician Assistant · Orlando, FL

NPI number 1952809188 Active

Practice location

217 Hillcrest St
Orlando, FL 32801-1211

Call (407) 425-1566 Map

Fax (407) 422-0166

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9110707 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1952809188

Clark Douglas Brandt, PA-C's National Provider Identifier is 1952809188, issued on Jan 23, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Feb 7, 2020.