Individual
SUSAN JEAN BRANDT
Active
Individual
SUSAN JEAN BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME87372
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME87372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71376
BLUE CROSS BLUE SHIELD
FL
01
—
71376W
RAILROAD MEDICARE
FL
Enumeration date
05/18/2006
Last updated
12/28/2007
Update your record
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