Phillips, Brandi Laine

Phillips, Brandi Laine is an individual health care provider with primary practice located at 9095 Belcher Rd N , Pinellas Park FL 33782-4423. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Phillips, Brandi Laine can be contacted via phone (727) 548-0001.

Contact Information

Primary practice address
9095 Belcher Rd N Pinellas Park FL 33782-4423
Phone: (727) 548-0001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME88223 Florida

Profile Details

NPI number 1033125620
LBN Legal business name Phillips, Brandi Laine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Sep 9th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033125620 NPPES
Florida MEDICAID 270732200

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