Individual
MANDY PAIGE BRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 259-8725
Mailing address
17 DAVIS BLVD STE 308, TAMPA, FL 33606-3438
(813) 250-2506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
U4748
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
U4748
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2017
Last updated
07/19/2023
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