Individual
BRIAN CARROLL MYERSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
1797 PACE DR NW, PALM BAY, FL 32907-7095
(321) 317-0239
Mailing address
1797 PACE DR NW, PALM BAY, FL 32907-7095
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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