Provider Demographics
NPI:1417387531
Name:BRANDT, BARBARA C (ARNP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:C
Last Name:BRANDT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10719 NW 75TH ST
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2320
Mailing Address - Country:US
Mailing Address - Phone:305-335-5745
Mailing Address - Fax:305-648-1088
Practice Address - Street 1:2601 SW 37TH AVE
Practice Address - Street 2:SUITE 702
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-2700
Practice Address - Country:US
Practice Address - Phone:305-648-1887
Practice Address - Fax:305-648-1088
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-27
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9260194363LA2100X, 364SA2200X, 364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology