Individual
DR. BRIAN CHRISTOPHER HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, EMERGENCY DEPARTMENT (LAKELAND REGIONAL HEALTH), LAKELAND, FL 33805-4543
(863) 687-1359
(863) 284-1621
Mailing address
1324 LAKELAND HILLS BLVD, EMERGENCY DEPARTMENT (LAKELAND REGIONAL HEALTH), LAKELAND, FL 33805-4543
(863) 687-1359
(863) 284-1621
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 122748
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN17589
FL
Other
Enumeration date
06/27/2012
Last updated
06/29/2015
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