Individual
BRANDY JO CENTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5812 OLD PASCO RD, WESLEY CHAPEL, FL 33544-4011
(812) 333-9108
(918) 333-9395
Mailing address
13067 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0926
(813) 779-6303
(786) 868-0012
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9414883
FL
363LF0000X
Family Nurse Practitioner
9414883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009986400
—
FL
Enumeration date
11/09/2015
Last updated
06/20/2024
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