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Individual

BRANDON JOSEPH LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15433 PLANTATION OAKS DR APT 15, TAMPA, FL 33647-2130
(813) 284-9578
Mailing address
6814 DRIFTWOOD DR, HUDSON, FL 34667-1035
(813) 284-9578

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
7212
FL

Other

Enumeration date
08/30/2023
Last updated
06/06/2024
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