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BRANDON MEDICAL WELLNESS CENTER NPI 1881697035


NPI Information

NPI: 1881697035
Provider Name: BRANDON MEDICAL WELLNESS CENTER

Doing Business As: PHYSICAL MEDICINE & REHABILITATION

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
807 S PARSONS AVE
BRANDON, FL
ZIP 33511
Phone: (813) 684-8141
Get Directions

BRANDON MEDICAL WELLNESS CENTER is a chiropractor in Brandon, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BRANDON MEDICAL WELLNESS CENTER NPI is 1881697035. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physical Medicine & Rehabilitation.

The provider's business location address is:

807 S PARSONS AVE
BRANDON, FL
ZIP 33511-063
Phone: (813) 684-8141
Fax: (813) 689-1140

The provider's authorized official is John S Morgan .
The authorized official title is Owner and has the following contact phone number (813) 684-8141.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 1/11/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH0005360FLORIDANo
2111N00000XChiropractorCH9344FLORIDANo
3207Q00000XFamily MedicineME46540FLORIDANo
4225X00000XOccupational TherapistOT9814FLORIDANo
5111N00000XChiropractorNo
6111N00000XChiropractorCH0005666FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CJ8361MEDICARE PINFLORIDA
26333650001MEDICARE NSCFLORIDA
398662MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP

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

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