| Brandon Integrative Health Llc | |
|
204 Oakfield Dr Brandon FL 33511-5707 | |
| (813) 933-0911 | |
| Not Available |
| Full Name | Brandon Integrative Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 Oakfield Dr, Brandon, Florida |
| Authorized Official Name and Position | Eugene Pereira (OWNER) |
| Authorized Official Contact | 8139330911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Integrative Health Llc 204 Oakfield Dr Brandon FL 33511-5707 Ph: (813) 933-0911 | Brandon Integrative Health Llc 204 Oakfield Dr Brandon FL 33511-5707 Ph: (813) 933-0911 |
| NPI Number | 1306436407 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 04/13/2021 |
| Medicare PECOS PAC ID | 7517373152 |
|---|---|
| Medicare Enrollment ID | O20210308000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306436407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Zelinda J Bissell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588813968 PECOS PAC ID: 3375523293 Enrollment ID: I20040721001723 |
| Provider Name | Navija Valladares |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568457547 PECOS PAC ID: 8426123407 Enrollment ID: I20080826000826 |
| Provider Name | Eugene G Pereira |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1578664751 PECOS PAC ID: 6204807365 Enrollment ID: I20120420000231 |
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