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Organization

BRANDON PREMIER HEALTHCARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HILLARY LISSORN MORGAN ARNP (PRESIDENT)
(813) 689-8020
Entity
Organization

Contact information

Practice address
907 N PARSONS AVE, BRANDON, FL 33510-3107
(813) 689-8020
(813) 689-8381
Mailing address
907 N PARSONS AVE, BRANDON, FL 33510-3107
(813) 689-8020
(813) 689-8381

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner
2750432
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274805300
FL
Enumeration date
06/07/2007
Last updated
07/28/2017
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