Individual
JENNINE MARIE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2002 NW 13TH ST, SUITE 100, GAINESVILLE, FL 32609-5414
(352) 271-5263
(352) 271-5264
Mailing address
2002 NW 13TH ST, SUITE 100, GAINESVILLE, FL 32609-5414
(352) 271-5263
(352) 271-5264
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
ME85970
FL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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