Individual
MR. BRIAN MATTHEW DELP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2602 JAMES L REDMAN PKWY, PLANT CITY, FL 33566-9460
(813) 752-5765
(813) 754-1179
Mailing address
2201 WEDGEWOOD CT, PLANT CITY, FL 33566-0923
(813) 759-2617
(813) 759-2617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS29431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS29431
STATE LICENSE NUMBER
FL
Enumeration date
05/29/2007
Last updated
07/06/2021
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