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Individual

BRANDI G. MCINTOSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT MA 29460

Contact information

Practice address
1289 CEDAR CENTER DR., TALLAHASSEE, FL 32301
(850) 942-4114
Mailing address
3208 WHITNEY DR. EAST, TALLAHASSEE, FL 32309
(850) 528-6222

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 29460
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C2328
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/01/2007
Last updated
07/08/2007
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