Individual
BRIAN RYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 N SYKES CREEK PKWY, STE 300, MERRITT ISLAND, FL 32953-3490
(321) 459-0303
Mailing address
5190 WILDWOOD AVE, MERRITT ISLAND, FL 32953-7515
(407) 453-0805
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL0000085
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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