Michele Alexis Brandon, DO
Internal Medicine, Infectious Disease in Jacksonville, FL. Individual provider (NPI-1).
NPI number1629636618
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1629636618
- Entity type
- Individual (NPI-1)
- Name
- Michele Alexis Brandon
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2019
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | OS20944 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8613 Old Kings Rd S Ste 602Jacksonville, FL 32217-4863
Phone 904-493-3390 · Fax 904-493-3395
Mailing address
653-1 W 8th St2nd Fl Lrc
Jacksonville, FL 32209-6511
Phone 904-244-7514 · Fax 904-244-5650
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