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Individual

DR. BRIAN MASTERS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1950 LEE RD, SUITE 105, WINTER PARK, FL 32789
(407) 647-2346
(407) 647-5431
Mailing address
917 RINEHART RD, STE 1051, LAKE MARY, FL 32746-4853
(407) 647-2346
(407) 647-5431

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME76739
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
258679700
FL
01
270935
AVMED
FL
01
35617
BCBS
FL
01
P00054173
RR MEDICARE
FL
Enumeration date
02/10/2006
Last updated
12/20/2016
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