Healthcare Provider Details

I. General information

NPI: 1750297206
Provider Name (Legal Business Name): BRANDY KAY ROMERO NUNEZ PEREZ RCSWI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44177 KELLY DR
BABCOCK RANCH FL
33982-5372
US

IV. Provider business mailing address

44177 KELLY DR
BABCOCK RANCH FL
33982-5372
US

V. Phone/Fax

Practice location:
  • Phone: 863-263-4075
  • Fax:
Mailing address:
  • Phone: 239-667-5469
  • Fax: 717-789-1914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number19783
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: