Brandt, Clark Douglas

Brandt, Clark Douglas is an individual health care provider with primary practice located at 217 Hillcrest St , Orlando FL 32801-1211. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brandt, Clark Douglas can be contacted via phone (407) 425-1566.

Contact Information

Primary practice address
217 Hillcrest St Orlando FL 32801-1211
Phone: (407) 425-1566
Fax: (407) 422-0166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9110707 Florida

Profile Details

NPI number 1952809188
LBN Legal business name Brandt, Clark Douglas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Feb 7th, 2020 - about 5 years ago

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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