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Mr. Brian William Jansen, ATC,LAT
Specialist in Daytona Beach, Florida
NPI 1922074293

Brian William Jansen is a Specialist based in Daytona Beach, FL. Brian William Jansen practices in Daytona Beach, FL and has the professional credentials of ATC,LAT. The NPI Number for Brian William Jansen is 1922074293 and holds a License No. AL 571 (Florida).

The current practice location address for Brian William Jansen is 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL and can be reached out via phone at 386-481-2261 and via fax at 386-481-2265.

Location: 640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL, 32117-4556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922074293
Provider Name
Brian William Jansen
Credential
ATC,LAT
Provider Entity Type
Individual
Gender
Male
Address
640 Dr Mary Mcleod Bethune Blvd, Daytona Beach, FL, 32117-4556
Phone Number
386-481-2261
Fax Number
386-481-2265
Provider Enumeration Date
02/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
640 Dr Mary Mcleod Bethune Blvd
City
Daytona Beach
State
Florida
Zip
32114-3012
Phone Number
386-481-2261
Fax Number
386-481-2265
person
Provider Business Mailing Address Details
Address
640 Dr Mary Mcleod Bethune Blvd
City
Daytona Beach
State
Florida
Zip
32114-3012
Phone Number
386-481-2261
Fax Number
386-481-2265
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AL 571 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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