Most Relevant Information
Provider Data
| NPI Number: | 1003044108 |
| Provider Name: | BRIAN EARLE RPSGT |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: | 13465 |
Most Important Dates
| Enumeration Date: | 06/26/2009 |
| Last Updated: | 06/26/2009 |
Provider Practice Location
4270 NW 103RD DR
CORAL SPRINGS
FL
330651597
Practice Location Phone/Fax
| Phone: | 9547523257 |
| Fax: | 9543695020 |
Provider Mailing Location
4270 NW 103RD DR
CORAL SPRINGS
FL
330651597
Provider Mailing Phone/Fax
| Phone: | 9547523257 |
| Fax: | 9543695020 |