Individual
BRENDAN TOSHIYASU INOUYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD # 100254, GAINESVILLE, FL 32610
(808) 224-7884
Mailing address
1600 SW ARCHER RD # 100254, GAINESVILLE, FL 32610-3003
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME135793
FL
208600000X
Surgery Physician
R73895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245900
—
FL
Enumeration date
06/04/2013
Last updated
08/16/2018
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