Individual
DR. BRIAN IDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2025 INDIAN ROCKS RD, LARGO, FL 33774
(727) 586-7103
(727) 585-7205
Mailing address
2025 INDIAN ROCKS RD S, LARGO, FL 33774-1035
(727) 586-7103
(727) 585-7205
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
UO2457
FL
Other
Enumeration date
08/31/2010
Last updated
02/23/2011
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