Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | ME133973 | FL |
N | 2080P0204X | Pediatric Emergency Doctor | 35.093565 | OH |
NPI | 1629287701 |
---|---|
Provider Name | Corinne L Bria |
First Address | Jacksonville, FL 32256-0532 |
Second Address | Orlando, FL 32827-7402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 17/03/2018 |