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Individual

DR. BRYAN VYVERBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
812 CREIGHTON RD, PENSACOLA, FL 32504-7028
(850) 564-6644
(866) 740-0655
Mailing address
8845 LORRAINE RD, GULFPORT, MS 39503-5042
(228) 277-1771
(866) 740-0655

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME169348
FL
2084P0804X
Child & Adolescent Psychiatry Physician
10017
HI
2084P0804X
Child & Adolescent Psychiatry Physician
22206
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06322869
MS
Enumeration date
08/17/2005
Last updated
02/25/2025
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