FAMILY PRACTICE CENTER OF BRANDON LLC
Marriage and Family Therapists at Moon Ave, Brandon, FL

License number
Florida ME0069553
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. MIGUEL MAZARIEGOS M.D.
Title: PHYSICIAN
Phone: (813) 681-6064
Address
Address
205 S Moon Ave SUITE 105, Brandon, FL 33511
National Provider ID: 1487962619
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FAMILY PRACTICE CENTER OF BRANDON LLC at bizstanding.com

Family Practice Center of Brandon

Brandon, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Family Practice Center of Brandon, LLC<br>Family Practice Center of Brandon, Inc
Registration:
Apr 17, 2009
Phone:
(813) 681-6064 (Phone)
Addresses:
205 S Moon Ave, Brandon, FL 33511
240 S Moon Ave, Brandon, FL 33511
State ID:
L09000037749
Business type:
Florida Limited Liability
Owner, Medical Doctor, Managing Member, Directors:
Lisbey Valle (Nurse Practitioner),Sandy Mazariegos (Office Manager),Sandra Mazariegos (Managing Member),...
Agent:
Ricky L. Thacker
Categories:
Physicians & Surgeons

Marriage and Family Therapists licenses in Florida










Other Doctors licenses in Florida