Most Relevant Information
Provider Data
| NPI Number: | 1003444746 |
| Provider Name: | BRANDON HOLMES |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9493698 |
Most Important Dates
| Enumeration Date: | 03/30/2020 |
| Last Updated: | 07/23/2021 |
Provider Practice Location
12902 USF MAGNOLIA DR
TAMPA
FL
336129416
Practice Location Phone/Fax
| Phone: | 8137454673 |
| Fax: |
Provider Mailing Location
PO BOX 198441
ATLANTA
GA
303848441
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |