Individual
DR. BRANDI LAINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9095 BELCHER RD N, PINELLAS PARK, FL 33782-4423
(727) 548-0001
Mailing address
9095 BELCHER RD N, PINELLAS PARK, FL 33782-4423
(727) 548-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME88223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270732200
—
FL
Enumeration date
08/01/2006
Last updated
09/09/2013
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