Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Family Practice Center of Brandon LLC

Organization Family Medicine Physician · NPI 1487962619

Family Practice Center of Brandon LLC provides Family Medicine Physician services in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

814 Vittorio Pl
Brandon, FL 33511-6659
Phone: (813) 681-6064
Fax: (813) 653-4132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME0069553 (FL)

Record details

NPI number1487962619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miguel Mazariegos — Physician · (813) 681-6064
NPI enumeratedSeptember 22, 2010
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address814 Vittorio Pl, Brandon, FL 33511-6659

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