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Individual

BRIAN ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
113 ROSE BRIAR DR, LONGWOOD, FL 32750-2732
(407) 919-8721
Mailing address
113 ROSE BRIAR DR, LONGWOOD, FL 32750-2732
(407) 919-8721

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9460794
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11026352
FL

Other

Enumeration date
09/12/2022
Last updated
05/25/2023
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