Organization
BRANDON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY KILGORE (OWNER)
(813) 502-6430
Entity
Organization
Contact information
Practice address
122 S MOON AVE, BRANDON, FL 33511-5110
(813) 502-6430
Mailing address
122 S MOON AVE, BRANDON, FL 33511-5110
(813) 502-6430
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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