NPI 1376259663

Brantford McLeod

Practitioner Driver Tallahassee, FL

Practice location

Address: 2214 Old Bainbridge Rd, Tallahassee, FL 32303-3907
Phone: (850) 694-7382

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence M243-079-53-301-0 (FL)

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Registry record

NPI: 1376259663
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2023
Record last updated: 30 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.