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Organization
MARIE A BRISTER MD LLC
Active
Organization
MARIE A BRISTER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BRISTER MD (OWNER/PRESIDENT)
(813) 229-1924
Entity
Organization
Contact information
Practice address
508 W DR MARTIN LUTHER KING JR BLVD STE A, TAMPA, FL 33603
(813) 229-1924
Mailing address
508 W DR MARTIN LUTHER KING JR BLVD STE A, TAMPA, FL 33603-3415
(813) 229-1924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME118349
FL
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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