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NPI Code Detail

MEDICARE: BRANDON MEDICAL WELLNESS CENTER

MEDICARE: BRANDON MEDICAL WELLNESS CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH0005360FL
2111N00000XChiropractorCH9344FL
3207Q00000XFamily Medicine PhysicianME46540FL
4225X00000XOccupational TherapistOT9814FL
5111N00000XChiropractor
6111N00000XChiropractorCH0005666FL

General Provider Information

NPI Number : 1881697035
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRANDON MEDICAL WELLNESS CENTER
Provider Business Mailing Address
First Line : 807 S PARSONS AVE
Second Line :
City : BRANDON
State : FL
Zip : 33511-6063
Country : US
Telephone Number : 813-684-8141
Fax Number : 813-689-1140
Provider Business Practice Location Address
First Line : 807 S PARSONS AVE
Second Line :
City : BRANDON
State : FL
Zip : 33511-6063
Country : US
Telephone Number : 813-684-8141
Fax Number : 813-689-1140
Authorized Official
Title or Position : OWNER
Name : JOHN S MORGAN
Credential : DC
Telephone Number : 813-684-8141
Provider Enumeration Date : 05/23/2005
Last Update Date : 01/11/2011

Similar Medicare Providers

1255272845 — LEKEAH REGAN
Practice Location Address:
815 S PARSONS AVE
BRANDON, FL
33511-6063
Practice Phone: 941-263-1451
Practice Fax:
1598787335 — MRS. OLGA J AROCHO PT
Practice Location Address:
807 S PARSONS AVE
BRANDON, FL
33511-6063
Practice Phone: 813-684-8041
Practice Fax: 813-689-1140
1437255650 — ZWEIBACH & CHAMPION, M.D.S, P.A.
Practice Location Address:
815 S PARSONS AVE
BRANDON, FL
33511-6063
Practice Phone: 813-571-2777
Practice Fax: 813-571-2888
1871662247 — MR. CHARLES PAUL RICKETSON OTRL
Practice Location Address:
807 S PARSONS AVE
BRANDON, FL
33511-6063
Practice Phone: 813-684-8141
Practice Fax: 813-689-1140
1184760118 — LAURA DENCH M.A., CCC
Practice Location Address:
885 S PARSONS AVE
BRANDON, FL
33511-6063
Practice Phone: 813-436-5900
Practice Fax:
1881730463 — CHRISTINE MARIE HEGARTY M.S., OTR/L
Practice Location Address:
885 S PARSONS AVE
BRANDON, FL
33511-6063
Practice Phone: 813-436-5900
Practice Fax: 813-436-5901

Directions to “BRANDON MEDICAL WELLNESS CENTER ” Practice Location

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