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NPI Code Detail

MEDICARE: BRYAN EDWARD BYRD PA-C

MEDICARE: BRYAN EDWARD BYRD PA-C
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
1363A00000XPhysician AssistantPA9113076FL
2363A00000XPhysician Assistant13355GA
3363AS0400XSurgical Physician AssistantFL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881238541
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN EDWARD BYRD PA-C
Provider Business Mailing Address
First Line : 2501 N ORANGE AVE STE 401
Second Line :
City : ORLANDO
State : FL
Zip : 32804-4644
Country : US
Telephone Number : 407-303-7283
Fax Number : 407-303-0347
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-303-7283
Fax Number : 407-303-0347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2019
Last Update Date : 12/18/2025

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Directions to “ BRYAN EDWARD BYRD PA-C” Practice Location

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