Kroll, Brian C
Kroll, Brian C is an sole proprietor health care provider with primary practice located at 120 Medical Blvd Suite 102, Spring Hill FL 34609-0220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kroll, Brian C can be contacted via phone (352) 686-0086.Contact Information
Primary practice address
120 Medical Blvd Suite 102
Spring Hill FL 34609-0220
Phone: (352) 686-0086
Fax: (352) 684-2081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS8257 | Florida |
Profile Details
| NPI number | 1952303125 |
|---|---|
| LBN Legal business name | Kroll, Brian C |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jan 25th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952303125 | NPPES |
| Florida | Other | 275850 | AVMED |
| Florida | Other | 125038 | AVMED |
| Florida | Other | 21339 | AVMED |
| Florida | Other | 7834405 | AVMED |
| Florida | Other | 000123073 | AVMED |
| Florida | Other | 080171894 | AVMED |
| Florida | MEDICAID | 260907000 | AVMED |
| Florida | Other | 174935 | AVMED |
| Florida | Other | 58681 | AVMED |
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