Organization
BRETT MICHAEL FLORIE A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT MICHAEL FLORIE D.O. (PRESIDENT)
(949) 574-9508
Entity
Organization
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3101
(562) 598-1311
(562) 799-3133
Mailing address
101 S 1ST ST, SUITE 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A9732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A97320
BLUE SHIELD
CA
Enumeration date
07/23/2009
Last updated
09/03/2009
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