Individual
BRANDON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4251 STACK BLVD, MELBOURNE, FL 32901-8526
(321) 506-4686
Mailing address
3890 SAGE BRUSH CIR, MELBOURNE, FL 32901-8209
(321) 506-4687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11106435
FL
Other
Enumeration date
02/17/2020
Last updated
03/06/2020
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