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Individual

MRS. DANA N. BRENDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
13670 WALSINGHAM RD, LARGO, FL 33774-3532
(727) 593-9848
(727) 596-4532
Mailing address
13670 WALSINGHAM RD, LARGO, FL 33774-3532
(727) 593-9848
(727) 596-4532

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104325
FL
363AM0700X
Medical Physician Assistant
Primary
PA9104325
FL
363AM0700X
Medical Physician Assistant
PA9109434
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016380800
FL
Enumeration date
09/11/2007
Last updated
04/13/2023
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