Provider Demographics
NPI:1275814469
Name:THOMAS, BRANDY LEE (RN, CNM, MSN)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:LEE
Last Name:THOMAS
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Gender:F
Credentials:RN, CNM, MSN
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Mailing Address - Street 1:235 N WESTMONTE DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3345
Mailing Address - Country:US
Mailing Address - Phone:407-389-5300
Mailing Address - Fax:407-389-5363
Practice Address - Street 1:867 OUTER RD
Practice Address - Street 2:SUITE A
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6652
Practice Address - Country:US
Practice Address - Phone:407-898-6588
Practice Address - Fax:407-896-3785
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2016-08-03
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9235061367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife