Individual
BRANDON MOLLIGODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
143 RAYMOND OAKS CT, ALTAMONTE SPRINGS, FL 32701-7312
(407) 781-7908
Mailing address
143 RAYMOND OAKS CT, ALTAMONTE SPRINGS, FL 32701-7312
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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