Individual
FLORANTE L BRIONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 WALES AVENUE SW, MASSILLON, OH 44646
(330) 484-2584
(330) 484-3529
Mailing address
6046 WHIPPLE AVE NW, NORTH CANTON, OH 44720
(330) 443-1200
(330) 305-5047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35035279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269203
—
OH
01
—
9912011
MEDICARE GROUP PIN
—
01
—
BR0380163
MEDICARE PTAN
OH
Enumeration date
03/03/2006
Last updated
05/22/2008
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