Individual
BRIAN TANNER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
713 N 14TH ST, LEESBURG, FL 34748-4205
(352) 314-8805
(407) 650-3065
Mailing address
713 N 14TH ST, LEESBURG, FL 34748-4205
(352) 314-8805
(407) 650-3065
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
AS5859
FL
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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