Organization
VERIMED HEALTH GROUP BRANDON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LEE PINO (ADMINISTRATOR)
(813) 324-9463
Entity
Organization
Contact information
Practice address
500 VONDERBURG DR STE 310, BRANDON, FL 33511-5978
(813) 324-9463
(813) 502-6385
Mailing address
500 VONDERBURG DR STE 310, BRANDON, FL 33511-5978
(813) 324-9463
(813) 502-6385
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
FL
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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