Individual
BRANDON HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9493698
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11013091
FL
Other
Enumeration date
03/30/2020
Last updated
07/23/2021
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