LARISSA BRANDENBURG, DO
General Practice
Active
Individual
NPI: 1932661188
Practice Address
NMOTC ATTN: CREDENTIALS OFFICE220 HOVEY RD
Pensacola, FL 32508
Phone: (850) 452-9484
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | OS18242 (FL) |
| Military Health Care Provider | 171000000X | No | 0102206224 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
Frequently Asked Questions
NPI 1932661188 is the National Provider Identifier for LARISSA BRANDENBURG, DO, a General Practice provider located in Pensacola, FL. This NPI was enumerated on April 4, 2019.
LARISSA BRANDENBURG, DO practices at NMOTC ATTN: CREDENTIALS OFFICE, 220 HOVEY RD, Pensacola, FL 32508.
Quick Facts
- NPI
- 1932661188
- Type
- Individual
- Enumerated
- Apr 4, 2019
- Last Updated
- Jul 8, 2024
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