Deignan, Brian J

Deignan, Brian J is an individual health care provider with primary practice located at 3003 W Dr Martin Luther King Jr Blvd Mab-3Rd Floor, Tampa FL 33607-6307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Deignan, Brian J can be contacted via phone (813) 554-8983.

Contact Information

Primary practice address
3003 W Dr Martin Luther King Jr Blvd Mab-3Rd Floor Tampa FL 33607-6307
Fax: (813) 443-8177
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X ME115264 Florida

Profile Details

NPI number 1710184098
LBN Legal business name Deignan, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Dec 10th, 2015 - 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 1710184098 NPPES
Florida MEDICAID 0087555-00

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