Provider Demographics
NPI:1922486273
Name:BRIN, SYDNEE ROYCE (PA-C)
Entity Type:Individual
Prefix:
First Name:SYDNEE
Middle Name:ROYCE
Last Name:BRIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 TOWN CENTER CIR
Mailing Address - Street 2:STE A
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3639
Mailing Address - Country:US
Mailing Address - Phone:954-349-2345
Mailing Address - Fax:954-641-1086
Practice Address - Street 1:1600 TOWN CENTER CIR STE C
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3641
Practice Address - Country:US
Practice Address - Phone:954-389-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant