Individual
DR. BRIAR REPPENHAGEN HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3020 COLLEGE AVE E, RUSKIN, FL 33570-5220
(813) 645-5355
(813) 645-5355
Mailing address
3020 COLLEGE AVE E, RUSKIN, FL 33570-5220
(813) 645-5355
(813) 645-5355
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003209700
—
FL
01
—
J0731
BLUECROSS BLUESHIELD
FL
01
—
S1115
BLUECROSS BLUESHIELD
FL
Enumeration date
02/28/2007
Last updated
10/03/2011
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