Individual
BRYAN HENNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1601 N PALM AVE, SUITE 109, PEMBROKE PINES, FL 33026-3200
(954) 432-1511
(954) 432-5195
Mailing address
1601 N PALM AVE, SUITE 109, PEMBROKE PINES, FL 33026-3200
(954) 432-1511
(954) 432-5195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9175755
FL
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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