Individual
BRANDON HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756
(727) 461-6026
(727) 796-4345
Mailing address
430 MORTON PLANT ST STE 301, CLEARWATER, FL 33756-3395
(727) 461-6026
(727) 796-4345
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9110139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019927400
—
FL
01
—
NH9QM
BCBS
FL
Enumeration date
01/22/2017
Last updated
07/03/2018
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