Individual
MR. BRIAN WIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 284-6800
(863) 687-1033
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9113319
FL
Other
Enumeration date
06/06/2020
Last updated
11/02/2022
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