Provider Demographics
NPI:1891508859
Name:BRANDT, KARINA (CHI)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:BRANDT
Suffix:
Gender:F
Credentials:CHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 20TH PL SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-6245
Mailing Address - Country:US
Mailing Address - Phone:239-269-3074
Mailing Address - Fax:
Practice Address - Street 1:5401 20TH PL SW
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116-6245
Practice Address - Country:US
Practice Address - Phone:239-269-3074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA021319171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter