Individual
BRYSEN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-1005
(720) 207-1321
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-5215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS20828
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2021
Last updated
06/25/2025
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