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Organization

BRIAN J INGLERIGHT D.O., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN J INGLERIGHT D.O. (PRESIDENT)
(352) 592-1243
Entity
Organization

Contact information

Practice address
14540 CORTEZ BLVD, SUITE 104, BROOKSVILLE, FL 34613-6056
(352) 592-1243
(352) 592-1246
Mailing address
14540 CORTEZ BLVD, SUITE 104, BROOKSVILLE, FL 34613-6056
(352) 592-1243
(352) 592-1246

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS6103
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274813400
FL
Enumeration date
10/10/2006
Last updated
10/21/2008
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