Individual
MR. BRIAN KEITH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1356 NW 7TH ST, BOCA RATON, FL 33486-3216
(156) 141-4611
Mailing address
1356 NW 7TH ST, BOCA RATON, FL 33486-3216
(156) 141-4611
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
09-115
FL
Other
Enumeration date
05/23/2009
Last updated
05/23/2009
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