Individual
DR. GEORGE ORMAN BRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 S KINGS AVE, BRANDON, FL 33511-5919
(813) 685-1220
(813) 654-5660
Mailing address
425 S KINGS AVE, BRANDON, FL 33511-5919
(813) 685-1220
(813) 654-5660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0031731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080183489
MCARE RR
FL
01
—
1134384258
GROUP NPI
FL
01
—
1497738736
NPI
FL
01
—
30165W
MCARE ID
FL
01
—
K1858A
PTAN
FL
Enumeration date
11/21/2005
Last updated
08/29/2013
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