Provider Demographics
NPI:1871343152
Name:FLORENCE, BRIAN SCOTT (APRN)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:SCOTT
Last Name:FLORENCE
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:1819 BROADWAY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5671
Mailing Address - Country:US
Mailing Address - Phone:281-993-4109
Mailing Address - Fax:877-781-6179
Practice Address - Street 1:1819 BROADWAY ST STE 101
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5671
Practice Address - Country:US
Practice Address - Phone:281-993-4109
Practice Address - Fax:877-781-6179
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX901501163WM0705X
TX1174586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical