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Individual

BRETT A. OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
600 HERITAGE DR, SUITE 105, JUPITER, FL 33458-3000
(561) 935-9233
Mailing address
600 HERITAGE DR, SUITE 105, JUPITER, FL 33458-3000
(561) 935-9233

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2348
WV
207T00000X
Neurological Surgery Physician
Primary
OS8838
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000287951
UNISON
OH
05
267635400
FL
05
3003369
OH
05
3810014250
WV
01
613918805
BLACK LUNG/FEC
WV
01
7446981
CIGNA
WV
Enumeration date
06/15/2005
Last updated
03/09/2015
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