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Individual

JAMIN VINOD BRAHMBHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1920 DON WICKHAM DR STE 130, CLERMONT, FL 34711-1978
(352) 536-8761
(352) 536-8768
Mailing address
1920 DON WICKHAM DR STE 130, CLERMONT, FL 34711-1978
(352) 536-8761
(352) 536-8768

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME 112621
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006369500
FL
Enumeration date
05/29/2007
Last updated
09/25/2020
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