Mcintyre, Brandy Dominique

Mcintyre, Brandy Dominique is an sole proprietor health care provider with primary practice located at 13007 Summerfield Square Dr , Riverview FL 33578-7402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcintyre, Brandy Dominique can be contacted via phone (813) 629-5534.

Contact Information

Primary practice address
13007 Summerfield Square Dr Riverview FL 33578-7402
Phone: (813) 629-5534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP 9341338 Florida

Profile Details

NPI number 1851838650
LBN Legal business name Mcintyre, Brandy Dominique
Credentials ARNP FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2017
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851838650 NPPES
Florida MEDICAID 020984700
Florida Other IZ446Z

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