Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenda Deforrest OD PA

Organization Clinic/Center · NPI 1477733780

Brenda Deforrest OD PA is a Clinic/Center in Orlando, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5006 Dr Phillips Blvd
Orlando, FL 32819-3310
Phone: (407) 289-8819
Fax: (407) 296-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence FL2617 (FL)

Record details

NPI number1477733780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Deforrest — President · (407) 298-8819
NPI enumeratedNovember 5, 2007
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing address5006 Dr Phillips Blvd, Orlando, FL 32819-3310

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