Individual
DARRELL BRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3240 S FLORIDA AVE STE 105, LAKELAND, FL 33803-4574
(863) 646-4000
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS13803
FL
Other
Enumeration date
04/24/2015
Last updated
05/16/2024
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