Brandenburg, Larissa Rae

Brandenburg, Larissa Rae is an individual health care provider with primary practice located at Nmotc Attn: Credentials Office 220 Hovey Rd, Pensacola FL 32508. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Other Service Providers / Military Health Care Provider, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Brandenburg, Larissa Rae can be contacted via phone (850) 452-9484.

Contact Information

Primary practice address
Nmotc Attn: Credentials Office 220 Hovey Rd Pensacola FL 32508
Phone: (850) 452-9484
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS18242 Florida
Other Service Providers / Military Health Care Provider 171000000X 0102206224 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1932661188
LBN Legal business name Brandenburg, Larissa Rae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2019
Last updated Jul 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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