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Individual

BRIAN J KERBYSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2450 TAMIAMI TRL, SUITE A, PT CHARLOTTE, FL 33952-3922
(941) 627-7204
(941) 627-6066
Mailing address
3434 HANCOCK BRIDGE PKWY, N FT MYERS, FL 33903-7094
(877) 856-3774
(239) 599-2625

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10734
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146TY
FL BC
FL
Enumeration date
03/27/2007
Last updated
10/03/2013
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