MEDICARE: BRANDON TMS & PSYCHIATRY

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1730600495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRANDON TMS & PSYCHIATRY

Provider Business Mailing Address
First Line	:	407 N PARSONS AVE STE 104
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-4537
Country	:	US
Telephone Number	:	813-681-5880
Fax Number	:	813-681-5958

Provider Business Practice Location Address
First Line	:	407 N PARSONS AVE STE 104
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33510-4537
Country	:	US
Telephone Number	:	813-681-5880
Fax Number	:	813-681-5958

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. BREEANNA ELIZABETH STEFFES
Credential	:
Telephone Number	:	813-681-5880

Provider Enumeration Date	:	07/03/2017
Last Update Date	:	07/21/2022

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