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1235600354
BRANDON DAVID GEORGE
ORLANDO, FL
NPI
1235600354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: FL PTA29000)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
BRANDON DAVID GEORGE PTA
5018 DR PHILLIPS BLVD
ORLANDO, FL 32819-3310
Phone number: 407-532-6815
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Mailing Address
BRANDON DAVID GEORGE PTA
2130 OAKINGTON ST
WINTER GARDEN, FL 34787-4681
Phone number: 407-738-3337
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