Individual
BRIAN LOUIS IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1380 S PATRICK DR, SATELLITE BEACH, FL 32937-4375
(321) 773-2659
(321) 773-2667
Mailing address
1380 S PATRICK DR, SATELLITE BEACH, FL 32937-4375
(321) 773-2659
(321) 773-2667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS11174
FL
Other
Enumeration date
01/14/2009
Last updated
11/10/2015
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