Briley, Chad

Briley, Chad is an individual health care provider with primary practice located at 1222 S Orange Ave , Orlando FL 32806-1215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Briley, Chad can be contacted via phone (407) 650-1300.

Contact Information

Primary practice address
1222 S Orange Ave Orlando FL 32806-1215
Fax: (407) 650-1307
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9109533 Florida

Profile Details

NPI number 1295185965
LBN Legal business name Briley, Chad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2016
Last updated Nov 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295185965 NPPES
Florida Other PA9109533 MEDICAL LICENSE
Florida MEDICAID 018277300 MEDICAL LICENSE

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