Individual
BRIANA BETH MINICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1335 W INDIANTOWN RD, JUPITER, FL 33458-4631
(561) 263-7010
Mailing address
142 PENNOCK TRACE DR, JUPITER, FL 33458-7578
(561) 758-4260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112635
FL
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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