Individual
BRYANT JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5709 N AUSTRALIAN AVE, MANGONIA PARK, FL 33407-2325
(954) 600-4789
Mailing address
5709 N AUSTRALIAN AVE, MANGONIA PARK, FL 33407-2325
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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