Dr. Brenda Bourassa DO
Nephrology Physician in Fort Lauderdale, FL(View on Map)
Full Name
Dr. Brenda Bourassa DO
NPI Number
1184726978
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/02/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
OS7548
Contact
Information
Purpose
Mailing
Location
Address
407 SE 9TH ST
407 SE 9TH ST
City
Fort Lauderdale
Fort Lauderdale
State
FL
FL
Postal Code
33316-1113
33316-1113
Country
US
US
Telephone Number
(954) 463-0112
(954) 463-0112
Identifiers
Identifier
273027800
Identifier State
FL
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/16/2016
Provider Address
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