Friend, Brian Timothy

Friend, Brian Timothy is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Friend, Brian Timothy can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805
Phone: (863) 680-7000
Fax: (866) 264-8519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP2569482 Florida

Profile Details

NPI number 1528030764
LBN Legal business name Friend, Brian Timothy
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 26th, 2012 - about 12 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 1528030764 NPPES
Florida MEDICAID 300318300

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