NPI:
1548844194
Provider Name:
HUMANITARY MEDICAL CENTER BRANDON, INC
Former Legal Business Name: HUMANITARY MEDICAL CENTER BRANDON, INC
Classification:
Clinic/Center - 261QP2300X
Entity Type:
Organization
Specialization: Primary Care
CLIA Number: 10D2257470
Address:
731 S PARSONS AVE
BRANDON, FL
ZIP 33511
Phone:
(813) 499-1500
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HUMANITARY MEDICAL CENTER BRANDON, INC is a primary care clinic center in Brandon, FL. HUMANITARY MEDICAL CENTER BRANDON, INC NPI is 1548844194. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Humanitary Medical Center Brandon, Inc.
The provider's business location address is:
731 S PARSONS AVE
BRANDON, FL
ZIP 33511-058
Phone: (813) 499-1500
The provider's authorized official is Eliecer Gonzalez .
The authorized official title is President and has the following contact phone number (813) 468-1866.
The CLIA number assigned to this NPI record is 10D2257470 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/10/2021 and was last updated on 6/7/2023.