| Linda Brant, Pa | |
|
736 Springview Dr Orlando FL 32803-6932 | |
| (407) 619-2266 | |
| Not Available |
| Full Name | Linda Brant, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 736 Springview Dr, Orlando, Florida |
| Authorized Official Name and Position | Linda Brant (PRESIDENT) |
| Authorized Official Contact | 4076192266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Brant, Pa 736 Springview Dr Orlando FL 32803-6932 Ph: (407) 619-2266 | Linda Brant, Pa 736 Springview Dr Orlando FL 32803-6932 Ph: (407) 619-2266 |
| NPI Number | 1427416478 |
|---|---|
| Provider Enumeration Date | 02/05/2016 |
| Last Update Date | 02/05/2016 |
| Medicare PECOS PAC ID | 4789009721 |
|---|---|
| Medicare Enrollment ID | O20200807000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427416478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6068 (Florida) | Primary |
| Provider Name | Linda Brant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841465879 PECOS PAC ID: 5698993715 Enrollment ID: I20140902000889 |
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