Provider Demographics
NPI:1245471853
Name:FLORENCE, BRYNA ELIZABETH (PHYSICIAN ASSISTANT)
Entity type:Individual
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First Name:BRYNA
Middle Name:ELIZABETH
Last Name:FLORENCE
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:6645 ALVARADO ROAD
Mailing Address - Street 2:SUITE 415
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120
Mailing Address - Country:US
Mailing Address - Phone:619-229-4941
Mailing Address - Fax:619-229-4950
Practice Address - Street 1:6645 ALVARADO RD
Practice Address - Street 2:SUITE 415
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5208
Practice Address - Country:US
Practice Address - Phone:619-261-9000
Practice Address - Fax:619-229-4950
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2013-06-21
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Provider Licenses
StateLicense IDTaxonomies
CAPA20232363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical