Individual
DR. BRANDON TYLER WORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
421 LINDEN LN, LAKE WALES, FL 33853-4342
(855) 353-7546
(863) 676-1015
Mailing address
421 LINDEN LN, LAKE WALES, FL 33853-4342
(312) 695-7932
(312) 695-0664
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036.148375
IL
207N00000X
Dermatology Physician
ME143350
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME143350
FL
207NS0135X
Procedural Dermatology Physician
ME143350
FL
Other
Enumeration date
12/26/2018
Last updated
08/03/2022
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