Individual
DR. BRANDON KENNY PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804
(813) 540-6025
Mailing address
203 N MARION ST, TAMPA, FL 33602-4914
(813) 474-9804
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS22765
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
02/06/2026
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