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Individual

BRIANA MAYHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OS19126
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS19126
FLORIDA LICENSE
FL
Enumeration date
06/22/2016
Last updated
06/17/2024
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