Individual
BRANDIE N GOSTIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13691 METROPOLIS AVE, FORT MYERS, FL 33912-4318
(239) 561-3376
(239) 561-3020
Mailing address
13691 METROPOLIS AVE, FORT MYERS, FL 33912-4318
(239) 561-3376
(239) 561-3020
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA9106877
SC
Other
Enumeration date
10/11/2012
Last updated
08/07/2013
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