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Individual

BRANDON SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-5505
Mailing address
2001 SW 16TH ST, APT. F7, GAINESVILLE, FL 32608-1453
(678) 642-8341

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018965300
FL
Enumeration date
07/11/2016
Last updated
08/16/2021
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