Individual
BRIAN KEITH HAMEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10875 PARK BLVD, STE. C, SEMINOLE, FL 33772
(727) 398-6650
(727) 398-6550
Mailing address
10863 PARK BLVD, SUITE A, SEMINOLE, FL 33772-5423
(727) 398-6650
(727) 398-6550
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340206100
—
FL
Enumeration date
05/18/2006
Last updated
03/05/2008
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