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1215324470
DARRELL BRAHAM
LAKELAND, FL
NPI
1215324470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS13803)
Enumeration Date
2015-04-24
Last Update Date
2024-05-16
Business Address
DARRELL BRAHAM DO
3240 S FLORIDA AVE STE 105
LAKELAND, FL 33803-4574
Phone number: 863-646-4000
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Mailing Address
DARRELL BRAHAM DO
425 W COLONIAL DR STE 303
ORLANDO, FL 32804-6863
Phone number: 321-332-6947
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