Individual
DR. MATTHEW EDWARD BRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 W HIBISCUS BLVD STE 100, MELBOURNE, FL 32901-2624
(321) 726-3800
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-2725
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
1070
NE
2085R0202X
Diagnostic Radiology Physician
Primary
OS15923
FL
208D00000X
General Practice Physician
1070
NE
Other
Enumeration date
05/04/2012
Last updated
12/17/2021
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