Individual
JAIMIE L BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
8220 US 19 NORTH, PORT RICHEY, FL 34668
(727) 841-8505
(727) 846-0561
Mailing address
8220 US 19 NORTH, PORT RICHEY, FL 34668
(727) 841-8505
(727) 846-0561
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA9102529
FL
Other
Enumeration date
02/03/2006
Last updated
01/25/2010
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