Healthcare Provider Details

I. General information

NPI: 1447162706
Provider Name (Legal Business Name): BRANDON O KLEE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2228 US HIGHWAY 19
HOLIDAY FL
34691-4351
US

IV. Provider business mailing address

2228 US HIGHWAY 19
HOLIDAY FL
34691-4351
US

V. Phone/Fax

Practice location:
  • Phone: 727-304-6079
  • Fax:
Mailing address:
  • Phone: 727-304-6079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS71533
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: