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Individual

DR. ROGER THOMAS BRILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6520 NW 9TH BLVD, GAINESVILLE, FL 32605-4205
(352) 331-7987
(352) 331-2787
Mailing address
6520 NW 9TH BLVD, GAINESVILLE, FL 32605-4205
(352) 331-7987
(352) 331-2787

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0020528
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0038168300
FL
Enumeration date
06/10/2006
Last updated
01/20/2009
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