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1952809188
CLARK DOUGLAS BRANDT
ORLANDO, FL
NPI
1952809188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9110707)
Enumeration Date
2018-01-23
Last Update Date
2020-02-07
Business Address
Mr. CLARK DOUGLAS BRANDT PA-C
217 HILLCREST ST
ORLANDO, FL 32801-1211
Phone number: 407-425-1566
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Mailing Address
Mr. CLARK DOUGLAS BRANDT PA-C
217 HILLCREST ST
ORLANDO, FL 32801-1211
Phone number: 407-425-1566
Copy
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