# GEORGE O BRICK MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134384258
- **Authorized official:** SUE C BRICK (OFC MANAGER)
- **Authorized official phone:** (813) 685-1220

## Contact information

- **Practice address:** 425 S KINGS AVE, BRANDON, FL 33511-5919
- **Practice address phone:** (813) 685-1220
- **Mailing address:** 425 S KINGS AVE, BRANDON, FL 33511-5919
- **Mailing address phone:** (813) 685-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME0031731 | FL | Yes |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 02/08/2011