Individual
BRETT MISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
10606 N MAGNOLIA AVE, OCALA, FL 34475-1011
(352) 875-1622
Mailing address
10606 N MAGNOLIA AVE, OCALA, FL 34475-1011
(352) 875-1622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
65899
FL
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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