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BRANDON FAMILY MEDICAL CARE PA NPI 1457461378


NPI Information

NPI: 1457461378
Provider Name: BRANDON FAMILY MEDICAL CARE PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1218 MILLENNIUM PKWY
BRANDON, FL
ZIP 33511
Phone: (813) 684-5255
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BRANDON FAMILY MEDICAL CARE PA is a family medicine in Brandon, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRANDON FAMILY MEDICAL CARE PA NPI is 1457461378. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1218 MILLENNIUM PKWY
BRANDON, FL
ZIP 33511-895
Phone: (813) 684-5255
Fax: (813) 654-7457

The provider's authorized official is Randell Jay Sehres .
The authorized official title is Medical Director and has the following contact phone number (813) 684-5255.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/17/2013.


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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GROUP# K3878MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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: 5/5/2024

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