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NPI Code Detail

MEDICARE: BRANDY LEIGH ROURK

MEDICARE: BRANDY LEIGH ROURK
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
1171400000XHealth & Wellness Coach

General Provider Information

NPI Number : 1558214494
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY LEIGH ROURK
Provider Business Mailing Address
First Line : 2489 DIPLOMAT PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-5422
Country : US
Telephone Number : 239-652-1800
Fax Number :
Provider Business Practice Location Address
First Line : 2489 DIPLOMAT PKWY E
Second Line :
City : CAPE CORAL
State : FL
Zip : 33909-5422
Country : US
Telephone Number : 239-652-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “ BRANDY LEIGH ROURK ” Practice Location

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