Individual
GREGORY CHARLES BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
Mailing address
3334 CAPITAL MEDICAL BLVD STE 400, TALLAHASSEE, FL 32308-4470
(850) 877-8174
(844) 261-6839
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT337
FL
222Z00000X
Orthotist
POR410
FL
224P00000X
Prosthetist
Primary
POR410
FL
Other
Enumeration date
04/22/2021
Last updated
04/11/2022
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