Individual
DR. BRYAN RODGER PRINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2118 SW 20TH PL STE 102, OCALA, FL 34471-0869
(352) 647-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME97489
FL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME97489
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278599400
—
FL
Enumeration date
10/16/2006
Last updated
10/13/2023
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