Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 16193 | NV |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 88628611205 | UT |
Y | 2081P2900X | Pain Medicine | ME150056 | FL |
NPI | 1134445109 |
---|---|
Provider Name | Dr. Eric Jae Brimhall |
First Address | Tampa, FL 33606-3438 |
Second Address | Tampa, FL 33606-3438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2010 |
Last Update Date | 25/05/2021 |