Individual
BRYSON BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
316 GROVELAND ST, ORLANDO, FL 32804-4019
(407) 896-9660
Mailing address
316 GROVELAND ST, ORLANDO, FL 32804-4019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11038128
FL
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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