Organization
BRANDON AREA PRIMARY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DAVID PARKS M.D. (OWNER)
(813) 654-2445
Entity
Organization
Contact information
Practice address
500 VONDERBURG DR, SUITE 311 WEST, BRANDON, FL 33511-5964
(813) 654-2445
(813) 654-9885
Mailing address
PO BOX 242, BRANDON, FL 33509-0242
(813) 654-2445
(813) 654-9885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
10/06/2011
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