Individual
MICHELE ALEXIS BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8613 OLD KINGS RD S STE 602, JACKSONVILLE, FL 32217-4863
(904) 493-3390
(904) 493-3395
Mailing address
653-1 W 8TH ST, 2ND FL LRC, JACKSONVILLE, FL 32209-6511
(904) 244-7514
(904) 244-5650
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
OS20944
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2019
Last updated
01/17/2025
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