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Individual

BRANDON VAN KEMPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
709 S HARBOR CITY BLVD STE 100, MELBOURNE, FL 32901-1936
(321) 802-5810
(321) 802-5811
Mailing address
709 S HARBOR CITY BLVD STE 100, MELBOURNE, FL 32901-1936
(321) 802-5810
(321) 802-5811

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037049
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
YZX3G
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
10/16/2015
Last updated
07/21/2022
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