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NPI Code Detail

MEDICARE: BRYAN MCINNES

MEDICARE:   BRYAN  MCINNES
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
1224Z00000XOccupational Therapy AssistantOTA18741FL

General Provider Information

NPI Number : 1801517974
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN MCINNES
Provider Business Mailing Address
First Line : 276 S CYPRESS ST
Second Line :
City : LABELLE
State : FL
Zip : 33935-4829
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 BROWARD AVE
Second Line :
City : LABELLE
State : FL
Zip : 33935-4903
Country : US
Telephone Number : 863-675-1440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2022
Last Update Date : 09/07/2022

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Directions to “ BRYAN MCINNES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.