BRIAN IDA

LARGO, FL
NPI1811204647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: FL  UO2457)
Enumeration Date2010-08-31
Last Update Date2011-02-23
Business Address
Dr. BRIAN IDA D.O.
2025 INDIAN ROCKS RD
LARGO, FL 33774
Phone number: 727-586-7103
Mailing Address
Dr. BRIAN IDA D.O.
2025 INDIAN ROCKS RD S
LARGO, FL 33774-1035
Phone number: 727-586-7103
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