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Individual

BRANDON DAVID GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
5018 DR PHILLIPS BLVD, ORLANDO, FL 32819-3310
(407) 532-6815
Mailing address
2130 OAKINGTON ST, WINTER GARDEN, FL 34787-4681
(407) 738-3337

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PTA29000
FL

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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