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Individual

BRIAN T O'MAHONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
(614) 884-0776
Mailing address
1919 NE 45TH ST STE 214, FORT LAUDERDALE, FL 33308-5136
(954) 493-5005

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DO-07097
IA
207L00000X
Anesthesiology Physician
Primary
OS14497
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2667476
OH
01
OM4185821
MEDICARE ID-TYPE UNSPECIFIED
OH
Enumeration date
07/04/2006
Last updated
07/25/2025
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