Individual
MICHAEL BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 LAKE HOWELL RD, MAITLAND, FL 32751-5900
(941) 592-0910
Mailing address
414 LAKE HOWELL RD, MAITLAND, FL 32751-5900
(941) 592-0910
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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