Individual
BRIAN KEITH POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12420 130TH AVE, LARGO, FL 33774-1919
(727) 824-8181
(727) 587-7739
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101016675
MI
207Q00000X
Family Medicine Physician
Primary
OS12134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008859000
—
FL
01
—
01019633
HEALTH PLUS OF MICHIGAN
—
01
—
080G310660
BCBS OF MICHIGAN
—
01
—
1053717
MCLAREN HEALTH PLAN/HEALTH ADVANTAGE
—
01
—
1144432402
MOLINA HEALTHCARE OF MICHIGAN
—
05
—
1144432402
—
MI
01
—
176125
GREAT LAKES HEALTH PLAN OF MI
—
01
—
381908328
PRIORITY HEALTH OF MICHIGAN
—
01
—
381908328-435
CARE SOURCE OF MICHIGAN
—
01
—
54684
HEALTH PLAN OF MICHIGAN
—
Enumeration date
05/07/2007
Last updated
11/06/2014
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