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Individual

SCOTT BRIETZKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1131 N 35TH AVE STE 300, HOLLYWOOD, FL 33021
(954) 265-1616
(954) 265-1615
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074

Taxonomy

Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME131835
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021910200
FL
Enumeration date
09/29/2006
Last updated
06/27/2018
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