Individual
MR. BRIAN DAVID SHAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1301 BALLENTYNE PL, APOPKA, FL 32703-6870
(407) 595-5438
Mailing address
1301 BALLENTYNE PL, APOPKA, FL 32703-6870
(407) 595-5438
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT-4778
FL
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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