MEDICARE: DR. LAWRENCE HOWARD BRICKMAN M.D.

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
1	208600000X	Surgery Physician	ME92007	FL

General Provider Information

NPI Number	:	1124174495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE HOWARD BRICKMAN M.D.

Provider Business Mailing Address
First Line	:	22716 CARAVELLE CIR
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-5926
Country	:	US
Telephone Number	:	561-417-3273
Fax Number	:	561-417-9216

Provider Business Practice Location Address
First Line	:	777 GLADES RD
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33431-6424
Country	:	US
Telephone Number	:	561-297-4336
Fax Number	:	561-297-4334

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

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