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Search › Florida › 101Y00000X

Brandon Clark

NPI 1871872416 · on the registry since 2011

Practice

Address
500 Fairway Dr
Deerfield Beach, FL 33441
Phone
(954) 603-7885
Organisation at this address
Ccm Media
Jordon Vassell
Total Emedical Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,404

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-01-02

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