Individual
DR. BRYAN GEORGE BELIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(914) 271-6000
Mailing address
14550 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-2460
(914) 271-6000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036151429
IL
2085R0202X
Diagnostic Radiology Physician
2017013059
MO
2085R0202X
Diagnostic Radiology Physician
Primary
ME136012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922366632
—
IL
05
—
1922366632
—
MO
Enumeration date
05/01/2012
Last updated
04/25/2024
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