Individual
DR. MATTHEW PHILLIP BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
(561) 601-9191
Mailing address
5301 S CONGRESS AVE, ATLANTIS, FL 33462-1149
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
39072
SC
2085R0202X
Diagnostic Radiology Physician
5190
OK
2085R0202X
Diagnostic Radiology Physician
Primary
OS14534
FL
390200000X
Student in an Organized Health Care Education/Training Program
UO2767
FL
Other
Enumeration date
12/28/2011
Last updated
07/13/2017
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