Individual
BRIAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2501 N ORANGE AVE, SUITE 340, ORLANDO, FL 32804-4603
(407) 895-8890
(407) 895-3608
Mailing address
2501 N ORANGE AVE, SUITE 340, ORLANDO, FL 32804-4603
(407) 895-8890
(407) 895-3608
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PAT9104380
FL
Other
Enumeration date
10/09/2007
Last updated
08/26/2011
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