Individual
BREANNON LYNN URAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18853 SODBURY ST, ORLANDO, FL 32833-5222
(724) 986-5993
Mailing address
18853 SODBURY ST, ORLANDO, FL 32833-5222
(724) 986-5993
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114768
FL
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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