Provider Demographics
NPI:1447482278
Name:RHUE, BRIANNA CHRISTINE (OD)
Entity type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:CHRISTINE
Last Name:RHUE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9430 TANGERINE PL APT 302
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4427
Mailing Address - Country:US
Mailing Address - Phone:520-940-3081
Mailing Address - Fax:
Practice Address - Street 1:7822 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2114
Practice Address - Country:US
Practice Address - Phone:954-726-0204
Practice Address - Fax:954-721-1578
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-12
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 004451152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist