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NPI Code Detail

MEDICARE: DR. BRYAN LIMING JAN MD

MEDICARE:  DR. BRYAN LIMING JAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080H0002XPediatric Hospice and Palliative Medicine Physician036.164936IL
2390200000XStudent in an Organized Health Care Education/Training Program
32080H0002XPediatric Hospice and Palliative Medicine Physician170000FL

General Provider Information

NPI Number : 1689296386
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN LIMING JAN MD
Provider Business Mailing Address
First Line : 3100 SW 62ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 SW 62ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-3009
Country : US
Telephone Number : 305-666-6511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2020
Last Update Date : 08/17/2024

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Directions to “ DR. BRYAN LIMING JAN MD” Practice Location

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