Individual
DR. BRYAN LEE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2171 PINE RIDGE RD STE F, NAPLES, FL 34109-2002
(239) 325-4090
(239) 325-4091
Mailing address
2171 PINE RIDGE RD STE F, NAPLES, FL 34109-2002
(239) 325-4090
(239) 325-4091
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101020200
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
OS12609
FL
390200000X
Student in an Organized Health Care Education/Training Program
34.010495
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1503LB
FL BLUE
FL
Enumeration date
12/17/2008
Last updated
03/17/2018
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