Individual
MR. BRENDAN MCCARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607-6307
(813) 238-0810
(813) 238-0811
Mailing address
3003 W DR MARTIN LUTHER KING JR BLVD, 2ND FLOOR MAB, TAMPA, FL 33607
(813) 238-0810
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9111602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113325300
—
FL
Enumeration date
12/17/2018
Last updated
04/12/2023
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