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Individual

DR. KEVIN PATRICK BRYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4200 SUN N LAKE BLVD, SEBRING, FL 33872-1986
(407) 975-0412
(407) 975-0407
Mailing address
4200 SUN N LAKE BLVD, SEBRING, FL 33872-1986
(407) 975-0412
(407) 975-0407

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD417302
PA
208000000X
Pediatrics Physician
Primary
ME121818
FL
208M00000X
Hospitalist Physician
ME121818
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015608500
FL
Enumeration date
09/13/2005
Last updated
09/01/2020
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