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Individual

DR. BRIAN C RELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
6310 HEALTH PARK WAY, SUITE 345, LAKEWOOD RANCH, FL 34202-5177
(941) 256-9191
Mailing address
6310 HEALTH PARK WAY STE 230, LAKEWOOD RANCH, FL 34202-5177
(941) 256-9191
(941) 355-2292

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2993
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340287800
FL
01
591466615
TAX ID
FL
01
PO2993
FLORIDA LICENSE
FL
Enumeration date
12/28/2006
Last updated
08/10/2022
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