Individual
DR. BRIAN ANDREW PESNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1184 PELICAN BAY DR, DAYTONA BEACH, FL 32119-1381
(386) 453-0631
Mailing address
5400 CORACI BLVD APT 4302, PORT ORANGE, FL 32128-7574
(845) 548-5509
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH12175
FL
Other
Enumeration date
06/18/2017
Last updated
09/02/2021
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