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1619918646
MARK LOUIS BRANTLY
GAINESVILLE, FL
NPI
1619918646
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: FL ME83377)
Enumeration Date
2006-06-09
Last Update Date
2015-06-08
Business Address
Dr. MARK LOUIS BRANTLY MD
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-273-8737
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Mailing Address
Dr. MARK LOUIS BRANTLY MD
PO BOX 13833
PHILADELPHIA, PA 19101-3833
Phone number: 352-273-8737
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