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Brandon William Teribery
General Practice Physician in Largo, Florida
NPI 1093465700

Brandon William Teribery is a General Practice Physician based in Largo, FL. Brandon William Teribery practices in Largo, FL. The NPI Number for Brandon William Teribery is 1093465700 and holds a License No. (Florida).

The current practice location address for Brandon William Teribery is 201 14Th St Sw, Largo, FL and can be reached out via phone at 727-588-5704.

Location: 201 14Th St Sw, Largo, FL, 33770-3199
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093465700
Provider Name
Brandon William Teribery
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 14Th St Sw, Largo, FL, 33770-3199
Phone Number
727-588-5704
Fax Number
Provider Enumeration Date
03/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 14Th St Sw
City
Largo
State
Florida
Zip
33770-3199
Phone Number
727-588-5704
Fax Number
person
Provider Business Mailing Address Details
Address
201 14Th St Sw
City
Largo
State
Florida
Zip
33770-3199
Phone Number
727-588-5704
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
010539 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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