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Individual

BRANDON LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1395 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4400
(321) 986-8812
Mailing address
836 WOODBINE DR, MERRITT ISLAND, FL 32952-4147
(321) 652-1648

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28749
FL

Other

Enumeration date
07/22/2020
Last updated
07/22/2020
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