Individual
BRANDON LOUIS MEDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18167 US HWY 19 NORTH, SUITE 650, CLEARWATER, FL 33764-9843
(727) 507-3643
(727) 507-3618
Mailing address
18167 US HIGHWAY 19 N STE 650, CLEARWATER, FL 33764-6576
(800) 507-8874
(727) 507-3618
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01098122A
IN
207P00000X
Emergency Medicine Physician
Primary
056138
GA
207P00000X
Emergency Medicine Physician
96106
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344804973A
—
GA
Enumeration date
10/11/2006
Last updated
12/30/2025
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