Individual
MR. ALFRED HERBERT BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6030 HOLLYWOOD BLVD, SUITE 100, HOLLYWOOD, FL 33024-7964
(954) 322-7200
(954) 322-7203
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME 41813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040226500
—
FL
01
—
1235675
WELLCARE
FL
01
—
210538
AVMED
FL
01
—
5617106
AETNA
FL
01
—
8506999
CIGNA
FL
01
—
9714
DIMENSION
FL
01
—
P01652208
RR MEDICARE
FL
01
—
P1015358
FREEDOM
FL
01
—
P954201
OPTIMUM
FL
Enumeration date
10/04/2005
Last updated
08/27/2024
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