Individual
BRIAN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
8926 77TH TER E UNIT 101, LAKEWOOD RANCH, FL 34202-6417
(941) 907-0222
(941) 907-0493
Mailing address
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-4603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME150121
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME150121
FL
Other
Enumeration date
06/06/2016
Last updated
02/02/2022
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