Provider Demographics
NPI:1740627595
Name:FOLEY, BRANDON JOSEPH
Entity type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:JOSEPH
Last Name:FOLEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 E WOOLBRIGHT RD
Mailing Address - Street 2:B202
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33435-6156
Mailing Address - Country:US
Mailing Address - Phone:774-402-0081
Mailing Address - Fax:
Practice Address - Street 1:621 E WOOLBRIGHT RD
Practice Address - Street 2:B202
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-6156
Practice Address - Country:US
Practice Address - Phone:774-402-0081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator