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Individual

BRYAN KENNETH LUBANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3990 SHERIDAN ST STE 101, HOLLYWOOD, FL 33021-3655
(954) 987-4455
Mailing address
3990 SHERIDAN ST STE 101, HOLLYWOOD, FL 33021-3655
(954) 987-4455

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1244
FL
282N00000X
General Acute Care Hospital

Other

Enumeration date
02/23/2017
Last updated
05/19/2021
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