Individual
WILLIAM O'BRIANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 MARSHALL DR, PERRY, FL 32347-1835
(950) 584-6334
Mailing address
9530 44TH PL, LIVE OAK, FL 32060-8588
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
PTA2304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA2304
STATE LINCENSE NUMBER.
FL
Enumeration date
08/11/2015
Last updated
08/11/2015
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