Individual
BRIAN J LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPH
Contact information
Practice address
1955 US 1 SOUTH, SUITE100, SAINT AUGUSTINE, FL 32086-5788
(904) 825-5055
(904) 825-6875
Mailing address
1955 US 1 SOUTH, SUITE100, SAINT AUGUSTINE, FL 32086-5788
(904) 825-5055
(904) 825-6875
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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