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Kenneth W Trussell Dc Pa
Medical Specialty Clinic/Center in Brandon, Florida
NPI 1972812865

Kenneth W Trussell Dc Pa is a Medical Specialty Clinic/Center based in Brandon, FL and is specialized in Medical Specialty. Kenneth W Trussell Dc Pa practices in Brandon, FL. The NPI Number for Kenneth W Trussell Dc Pa is 1972812865 and holds a License No. 6246 (Florida).

The current practice location address for Kenneth W Trussell Dc Pa is 113 W Robertson St, Brandon, FL and can be reached out via phone at 813-685-4222. You can also correspond with Kenneth W Trussell Dc Pa through the mailing address at 113 W ROBERTSON ST, BRANDON, FL - 33511-5111 (mailing address contact number: 813-685-4222).

Location: 113 W Robertson St, Brandon, FL, 33511-5111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972812865
Provider Name
Kenneth W Trussell Dc Pa
Credential
Provider Entity Type
Organization
Address
113 W Robertson St, Brandon, FL, 33511-5111
Phone Number
813-685-4222
Fax Number
Provider Enumeration Date
09/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 W Robertson St
City
Brandon
State
Florida
Zip
33511-5111
Phone Number
813-685-4222
Fax Number
person
Provider Business Mailing Address Details
Address
113 W Robertson St
City
Brandon
State
Florida
Zip
33511-5111
Phone Number
813-685-4222
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
6246 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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