Individual
DR. BRIAN E PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1143 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 331-1201
(352) 331-5273
Mailing address
1143 NW 64TH TER, GAINESVILLE, FL 32605-4218
(352) 331-1201
(352) 331-5273
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0079664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264138100
—
FL
Enumeration date
07/07/2005
Last updated
01/27/2022
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