Individual
BRINDA G MODH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8041 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940-8559
(321) 255-4003
(321) 255-2728
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 255-4003
(321) 255-2728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME116384
FL
207R00000X
Internal Medicine Physician
ME116384
NY
Other
Enumeration date
06/06/2013
Last updated
06/05/2020
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