BRANDON STEM CELL CLINIC LLC NPI 1386259323

NPI Information

NPI: 1386259323
Provider Name: BRANDON STEM CELL CLINIC LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1602 OAKFIELD DR STE 101
BRANDON, FL
ZIP 33511
Phone: (813) 800-7836
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BRANDON STEM CELL CLINIC LLC is a health service clinic center in Brandon, FL. BRANDON STEM CELL CLINIC LLC NPI is 1386259323. The provider is registered as an organization entity type.

The provider's business location address is:

1602 OAKFIELD DR STE 101
BRANDON, FL
ZIP 33511-827
Phone: (813) 800-7836
Fax: (813) 200-2253

The provider's authorized official is Leesa Polley .
The authorized official title is Owner, Founder and has the following contact phone number (850) 591-1414.

The enumeration date for this NPI number is 9/15/2020 and was last updated on 10/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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