Individual
MS. BRANDY KELLAM GOLDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N ASHLEY DRIVE, SUITE 1100-93609, TAMPA, FL 33602-5300
(904) 504-9669
Mailing address
600 N. ASHLEY DRIVE, SUITE 1100-93609, TAMPA, FL 33602
(904) 504-9669
(904) 491-2187
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
03/16/2020
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