Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35-128178 | OH |
Y | 2080P0202X | Pediatric Cardiologist | ME136219 | FL |
N | 2080P0204X | Pediatric Emergency Doctor | 35-128178 | OH |
NPI | 1225270804 |
---|---|
Provider Name | Dr. David Andrew Briston |
First Address | Orlando, FL 32804-4644 |
Second Address | Orlando, FL 32804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2009 |
Last Update Date | 14/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0173294 | (05) | OH |