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Brandon Chan

NPI 1689397861 · on the registry since 2022

Practice

Address
919 Lakeland Park Dr
Lakeland, FL 33809
Phone
(863) 859-6500

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
390200000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida