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Individual

MR. BRIAN DONALD HAAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 BRIERCLIFF DRIVE, 1ST FLOOR, ORLANDO, FL 32806-2203
(407) 841-1490
(407) 841-6464
Mailing address
415 BRIERCLIFF DRIVE, ORLANDO, FL 32806-2203
(407) 841-1490
(407) 841-6464

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME69320
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037895600
FL
01
180027279
RR MEDICARE
FL
Enumeration date
06/30/2006
Last updated
05/12/2011
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