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MEDI BRANDON LLC
NPI 1033566161
Family Medicine in Brandon, FL

Active since May 18, 2016
203 W BLOOMINGDALE AVE, BRANDON, FL 33511(813) 654-1110 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medi Brandon Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDI BRANDON LLC (NPI 1033566161) is a healthcare organization registered as a family medicine in Brandon, Florida and active in the NPI registry since May 2016. The organization lists Thomas K Willett, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1033566161
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMEDI BRANDON LLC
Location Address203 W BLOOMINGDALE AVEBrandon, FL 33511-7404
Mailing Address412 E Madison St, Suite 1100Tampa, FL 33602-4601
Phone(813) 654-1110
Organization SubpartNo
Authorized OfficialThomas K WillettManaging Member · (813) 225-1051
Enumeration DateMay 18, 2016
Last NPPES UpdateOctober 4, 2016
✔ NPI 1033566161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
203 W BLOOMINGDALE AVE, Brandon, FL 33511
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS PRICKETT ADAMS
Physician Assistant
203 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 654-1110
DANIELLE MONCALIERI FNP-BC
Nurse Practitioner (Family)
203 W BLOOMINGDALE AVE
BRANDON, FL 33511
Hillsborough County (813) 654-1110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medi Brandon LLC's NPI number?

The NPI number for Medi Brandon LLC is 1033566161. It was assigned to this organization in the NPPES registry on May 18, 2016.

Where is Medi Brandon LLC located?

Medi Brandon LLC is located at 203 W Bloomingdale Ave, Brandon, FL 33511. The listed phone number is (813) 654-1110.

What is Medi Brandon LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Medi Brandon LLC was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.