Healthcare Provider Details

I. General information

NPI: 1417027236
Provider Name (Legal Business Name): BRIAN HARRISON NEESE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/08/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 NW 33RD ST.
WESTON FL
33331
US

IV. Provider business mailing address

9301 NW 33RD ST.
WESTON FL
33331
US

V. Phone/Fax

Practice location:
  • Phone: 843-964-9556
  • Fax:
Mailing address:
  • Phone: 843-964-9556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101242305
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: