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Individual

KAELA ELAINE BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSRS, RRA

Contact information

Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7786
Mailing address
10 GREENTREE ST, HOMOSASSA, FL 34446-5101
(352) 942-9111

Taxonomy

Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
180
FL
247100000X
Radiologic Technologist
90312
FL

Other

Enumeration date
12/16/2025
Last updated
12/16/2025
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