Individual
BRANDI CONCOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N MAGNOLIA AVE STE 403, ORLANDO, FL 32803-3844
(321) 800-2922
Mailing address
801 N MAGNOLIA AVE STE 403, ORLANDO, FL 32803-3844
(321) 800-2922
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
EO2392
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EO2392
DEPARTMENT OF HEALTH
FL
Enumeration date
01/27/2023
Last updated
01/27/2023
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