Organization
ASSURED MENTAL & PHYSICAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDTRAIL FEET APRN (OWNER)
(813) 797-6174
Entity
Organization
Contact information
Practice address
673 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 797-6174
(813) 336-8306
Mailing address
673 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 797-6174
(813) 336-8306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/11/2021
Last updated
04/23/2024
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