Individual
MR. FRANKLIN JORDAN BRYANT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 CENTREPARK BLVD APT 720, WEST PALM BEACH, FL 33401-7470
(800) 530-5093
Mailing address
6600 TAYLOR RD UNIT 103, PUNTA GORDA, FL 33950-8318
(561) 479-8624
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
W405819
FL
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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