Larissa Rae Brandenburg, DO

NPI #1932661188 in Pensacola, Florida

Provider Information

NPI Number: 1932661188
Entity Type: Individual
Name: Larissa Rae Brandenburg, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Apr 4, 2019
Last Updated: Jul 8, 2024

Practice Location

Address: NMOTC ATTN: CREDENTIALS OFFICE
Address 2: 220 HOVEY RD
City: Pensacola
State: Florida
ZIP Code: 32508
Phone: (850) 452-9484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Military Health Care Provider	171000000X
Student in an Organized Health Care Education/Training Program	390200000X

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