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Organization
VALRICO BRANDON MEDICAL GROUP,INC
Active
Organization
VALRICO BRANDON MEDICAL GROUP,INC
Active
Other names
BRANDON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
FRED BEARISON M.D. (MEDICAL DIRECTOR)
(813) 662-0123
Entity
Organization
Contact information
Practice address
2237 LITHIA CENTER LN, VALRICO, FL 33594-5676
(813) 662-0123
(813) 662-9422
Mailing address
2237 LITHIA CENTER LN, VALRICO, FL 33594-5676
(813) 662-0123
(813) 662-9422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97072
BC/BS
—
Enumeration date
05/15/2006
Last updated
02/20/2008
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