Individual
BRYAN BRINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
(850) 769-1511
Mailing address
615 N BONITA AVE, PANAMA CITY, FL 32401-3623
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAX9109832
FL
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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