Individual
MRS. BRANDI L CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.R.A.,R.T(R)(CT)(MR
Contact information
Practice address
815 LEE ST, LEESBURG, FL 34748-4337
(302) 220-8682
Mailing address
815 LEE ST, LEESBURG, FL 34748-4337
(302) 220-8682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
RA72
FL
Other
Enumeration date
05/05/2016
Last updated
08/21/2025
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