Brian J Ingleright D.o., Inc | |
14540 Cortez Blvd Suite 104 Brooksville FL 34613-6056 | |
(352) 592-1243 | |
(352) 592-1246 |
Full Name | Brian J Ingleright D.o., Inc |
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Speciality | Family Medicine |
Location | 14540 Cortez Blvd, Brooksville, Florida |
Authorized Official Name and Position | Brian J Ingleright (PRESIDENT) |
Authorized Official Contact | 3525921243 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brian J Ingleright D.o., Inc 14540 Cortez Blvd Suite 104 Brooksville FL 34613-6056 Ph: (352) 592-1243 | Brian J Ingleright D.o., Inc 14540 Cortez Blvd Suite 104 Brooksville FL 34613-6056 Ph: (352) 592-1243 |
NPI Number | 1770671216 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 10/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770671216 | NPI | - | NPPES |
274813400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS6103 (Florida) | Primary |
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