Individual
DR. BRIAN LETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-5550
Mailing address
6330 N ANDREWS AVE, FT LAUDERDALE, FL 33309-2130
(954) 839-8080
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME147139
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME147139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110769400
—
FL
01
—
NZ991
MEDICARE
FL
01
—
TO7J6
BC BS OF FLORIDA
FL
Enumeration date
05/06/2015
Last updated
04/14/2025
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