Individual provider · NPI-1

Pedro Jose Briceno, M.D.

Surgery · Sarasota, FL

NPI number1275748659
StatusActive
Last updated in NPPESAug 9, 2018

Details

NPI
1275748659
Entity type
Individual (NPI-1)
Name
Pedro Jose Briceno
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2007
Last updated
Aug 9, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryME105330FLYes
208600000X SurgeryMD427760PA

Practice location

1950 Arlington St Ste 101
Sarasota, FL 34239

Phone 941-917-3400 · Fax 941-917-4300

Mailing address

Po Box 863407
Orlando, FL 32886-3407

Phone 941-917-2600 · Fax 941-917-7884

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