Medi Brandon LLC

NPI #1033566161 in Brandon, Florida

Provider Information

NPI Number
1033566161
Entity Type
Organization
Organization Name
Medi Brandon LLC
Primary Specialty
Family Medicine
Enumeration Date
May 18, 2016
Last Updated
Oct 4, 2016

Practice Location

Address
203 W BLOOMINGDALE AVE
State
Florida
ZIP Code
33511-7404
Phone
(813) 654-1110

Authorized Official

Name
THOMAS K WILLETT
Title
MANAGING MEMBER
Phone
(813) 225-1051

Specialties & Taxonomy Codes

Specialty
Family Medicine

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