Organization
BRANDON-RIVERVIEW MEDICAL ASSOCIATES PA
Active
Other names
BRANDON-RIVERVIEW MEDICAL ASSOCIATES PA
Organization subpart
No
Provider details
NPI number
Authorized official
JAGDEEP S SANDHU MD (OWNER)
(813) 655-4100
Entity
Organization
Contact information
Practice address
519 E BLOOMINGDALE AVE STE A, BRANDON, FL 33511-8180
(813) 655-4100
(813) 655-1775
Mailing address
519 E BLOOMINGDALE AVE STE A, BRANDON, FL 33511-8180
(813) 355-4100
(813) 655-1775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002M1
BCBS
FL
Enumeration date
09/16/2011
Last updated
11/20/2023
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