Brandt, Jacqueline
Brandt, Jacqueline is an individual health care provider with primary practice located at 1 Tampa General Cir , Tampa FL 33606-3571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, which is considered as her primary health care specialty. Brandt, Jacqueline can be contacted via phone (813) 844-7000.Contact Information
Primary practice address
1 Tampa General Cir
Tampa FL 33606-3571
Phone: (813) 844-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | APRN11017680 | Florida |
Profile Details
| NPI number | 1578222832 |
|---|---|
| LBN Legal business name | Brandt, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2021 |
| Last updated | Apr 25th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578222832 | NPPES |
| Florida | Other | B3YA8 | BLUE CROSS BLUE SHIELD |
| Florida | MEDICAID | 113771200 | BLUE CROSS BLUE SHIELD |
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