George O Brick Md Pa | |
425 S Kings Ave Brandon FL 33511-5919 | |
(813) 685-1220 | |
Not Available |
Full Name | George O Brick Md Pa |
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Speciality | Family Medicine |
Location | 425 S Kings Ave, Brandon, Florida |
Authorized Official Name and Position | Sue C Brick (OFC MANAGER) |
Authorized Official Contact | 8136851220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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George O Brick Md Pa 425 S Kings Ave Brandon FL 33511-5919 Ph: (813) 685-1220 | George O Brick Md Pa 425 S Kings Ave Brandon FL 33511-5919 Ph: (813) 685-1220 |
NPI Number | 1134384258 |
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Provider Enumeration Date | 07/29/2008 |
Last Update Date | 02/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134384258 | NPI | - | NPPES |
30165 | Other | FL | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0031731 (Florida) | Primary |
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