Individual
BRYAN BARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
6060 ALLEGRO ST, MILTON, FL 32583-7477
(850) 426-8742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5210958
FL
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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