Individual
BRANDY FEAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 N HIGHLAND ST, MOUNT DORA, FL 32757-5024
(352) 383-2177
Mailing address
700 N HIGHLAND ST, MOUNT DORA, FL 32757-5024
(352) 383-2177
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1885
FL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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