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Provider Information for 1851377071

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. NATHAN A BRINN MD

Gender: MALE

Individual NPI: 1851377071

Calendar   Last Updated:  2020-10-20
  Certification Date:  2020-10-20

Details

Name Value
NPI 1851377071
Enumeration Date 2005-12-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 917770
ORLANDO, FL 32891-7770
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 2 TAMPA GENERAL CIR STC 2ND FLOOR
TAMPA, FL 33606-3603
United States

Phone: 813-259-8700 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Direct Messaging Address abrinn100447@direct.tgh.org 2 TAMPA GENERAL CIR
STC 2ND FLOOR
TAMPA, FL 33606-3603
United States
Other Identifiers
Issuer State Number
Other BLUE CROSS BLUE SHIELD FL 150L3
MEDICAID FL 015106800
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208000000X - Pediatrics FL ME123206
No 208000000X - Pediatrics NC 009000331