Provider Demographics
NPI:1093082893
Name:BRANT INC
Entity type:Organization
Organization Name:BRANT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-765-4912
Mailing Address - Street 1:10225 ULMERTON RD STE 6B
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-3520
Mailing Address - Country:US
Mailing Address - Phone:727-828-6030
Mailing Address - Fax:727-828-6032
Practice Address - Street 1:10225 ULMERTON RD STE 6B
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3520
Practice Address - Country:US
Practice Address - Phone:727-828-6030
Practice Address - Fax:727-828-6032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-22
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health