Healthcare Provider Details

I. General information

NPI: 1720893191
Provider Name (Legal Business Name): BRANDON ESTEBAN BOURGEOIS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 WALDEMERE ST STE 701
SARASOTA FL
34239-2913
US

IV. Provider business mailing address

PO BOX 947407
ATLANTA GA
30394-7407
US

V. Phone/Fax

Practice location:
  • Phone: 941-917-8900
  • Fax: 941-917-8955
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9119823
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: