Individual
BRANDON KIRK DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 JEFFORDS ST BLDG D, CLEARWATER, FL 33756-4070
(727) 446-5993
(727) 442-8804
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9116638
FL
Other
Enumeration date
10/17/2022
Last updated
10/21/2022
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