Most Relevant Information
Provider Data
| NPI Number: | 1003272311 |
| Provider Name: | BRANDACE MICHELE KENWORTHY ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | ARNP 9217358 |
Most Important Dates
| Enumeration Date: | 01/04/2016 |
| Last Updated: | 06/21/2016 |
Provider Practice Location
1600 SW ARCHER RD
GAINESVILLE
FL
326103003
Practice Location Phone/Fax
| Phone: | 3522650111 |
| Fax: |
Provider Mailing Location
MCKNIGHT BRAIN INSTITUTE ROOM L3 100
1149 NEWELL DRIVE
GAINESVILLE
FL
326110001
Provider Mailing Phone/Fax
| Phone: | 3522650111 |
| Fax: |