Individual
MRS. BRIANNA C. LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(941) 792-1404
(941) 761-0712
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9108729
FL
363AM0700X
Medical Physician Assistant
50.003490
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068885
—
OH
01
—
XQIDI
FL BCBS
FL
Enumeration date
03/26/2009
Last updated
07/21/2022
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