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Individual

BRIAN CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
555 W STATE ROAD 434, LONGWOOD, FL 32750-5119
(321) 842-5039
Mailing address
PO BOX 628296, ORLANDO, FL 32862-8296

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9272456
FL

Other

Enumeration date
02/10/2015
Last updated
02/10/2015
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