Provider Demographics
NPI:1093437584
Name:BRANDT, ERWIN JAMES JR (PA)
Entity Type:Individual
Prefix:
First Name:ERWIN
Middle Name:JAMES
Last Name:BRANDT
Suffix:JR
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10009 NW 9TH STREET CIR APT 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-5123
Mailing Address - Country:US
Mailing Address - Phone:305-528-2325
Mailing Address - Fax:
Practice Address - Street 1:10009 NW 9TH STREET CIR APT 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-5123
Practice Address - Country:US
Practice Address - Phone:305-528-2325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant