Individual
EWA B BRANDYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13535 NEMOURS PKWY, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
44689
AZ
2081P0010X
Pediatric Rehabilitation Medicine Physician
D0060601
MD
2081P0010X
Pediatric Rehabilitation Medicine Physician
MD420876
PA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
ME124623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101354
—
NJ
05
—
015325900
—
FL
05
—
102001117
—
PA
05
—
1356407068
—
MI
05
—
1356407068
—
NY
05
—
2833581
—
OH
05
—
3810013075
—
WV
05
—
4048274
—
TN
05
—
408684800
—
MD
01
—
64693801
CAREFIRST BC BS
MD
Enumeration date
12/28/2006
Last updated
09/17/2015
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