Valrico Brandon Medical Group,inc

NPI #1972554673 in Valrico, Florida

Provider Information

NPI Number: 1972554673
Entity Type: Organization
Organization Name: Valrico Brandon Medical Group,inc
Primary Specialty: Internal Medicine
Enumeration Date: May 15, 2006
Last Updated: Feb 20, 2008

Practice Location

Address: 2237 LITHIA CENTER LN
City: Valrico
State: Florida
ZIP Code: 33594-5676
Phone: (813) 662-0123

Authorized Official

Name: FRED BEARISON, M.D.
Title: MEDICAL DIRECTOR
Phone: (813) 662-0123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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