Moynihan, Bryan T

Moynihan, Bryan T is an individual health care provider with primary practice located at 14555 Cortez Blvd , Brooksville FL 34613-6003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Moynihan, Bryan T can be contacted via phone (352) 556-4823.

Contact Information

Primary practice address
14555 Cortez Blvd Brooksville FL 34613-6003
Phone: (352) 556-4823
Fax: (352) 556-4824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104935 Florida

Profile Details

NPI number 1134360761
LBN Legal business name Moynihan, Bryan T
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2009
Last updated Nov 9th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134360761 NPPES
Florida MEDICAID 001348200
Florida Other P01366463

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