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MICHAEL BRYANT

Developmental Disabilities >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1467990135

Individual Registrant:
 MICHAEL  BRYANT 
Gender: M
Sole Proprietor

Location and contact information for practice:
3330 FROW AVE SUITE A COCONUT GROVE, FL 33133-5007 US
Tel: 305-801-2552  Fax: --

Contact information for business:
3330 FROW AVE SUITE A COCONUT GROVE, FL 33133-5007 US
Tel: 305-801-2552  Fax: --

Registration Information:
NPI: 1467990135
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD1600XAmbulatory Health Care Facilities
Clinic/Center
Developmental Disabilities

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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