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NPI Code Detail

MEDICARE: DR. HORACE DAVID BRANNON MD

MEDICARE: DR. HORACE DAVID BRANNON MD
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
1207Q00000XFamily Medicine PhysicianME53357FL
2207Q00000XFamily Medicine PhysicianMD 20705AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508818378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HORACE DAVID BRANNON MD
Provider Business Mailing Address
First Line : PO BOX 553
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-0553
Country : US
Telephone Number : 850-476-0559
Fax Number :
Provider Business Practice Location Address
First Line : 2400 S HIGHWAY 29
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-5808
Country : US
Telephone Number : 850-476-0559
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 04/23/2012

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Directions to “ DR. HORACE DAVID BRANNON MD” Practice Location

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