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Organization

BRANDON FAMILY MEDICAL CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDELL JAY SEHRES MD (MEDICAL DIRECTOR)
(813) 684-5255
Entity
Organization

Contact information

Practice address
1218 MILLENNIUM PKWY, BRANDON, FL 33511-3895
(813) 684-5255
(813) 654-7457
Mailing address
PO BOX 2637, BRANDON, FL 33509-2637
(813) 684-5255
(813) 654-7457

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/30/2006
Last updated
12/17/2013
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