Individual
BRIAN ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E JACKSON ST STE 3300, TAMPA, FL 33602-5228
(866) 277-3679
Mailing address
401 E JACKSON ST STE 3300, TAMPA, FL 33602-5228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30392
NC
Other
Enumeration date
03/27/2018
Last updated
08/22/2022
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