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Individual

BRANDON ISIAH IRIZARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-1614
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1614
(239) 343-3695

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120906
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128713800
FL
Enumeration date
08/22/2025
Last updated
11/07/2025
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