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NPI Code Detail

MEDICARE: BRANDI RAY ARNP

MEDICARE:   BRANDI  RAY  ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9280328FL

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 : 1669921714
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI RAY ARNP
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 7599 CYPRESS GARDENS BLVD STE P
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33884-3263
Country : US
Telephone Number : 863-324-4725
Fax Number : 863-324-4783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 04/07/2026

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