Individual provider · Type 1 NPI

Ian Christian Brandon Bidegaray, DO

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1912649666 Active

Practice location

15955 SW 96th St Ste 200
Miami, FL 33196-1272

Call (786) 467-3140 Map

Mailing address

4263 Losco Rd Apt 111
Jacksonville, FL 32257-1456

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912649666

Ian Christian Brandon Bidegaray, DO's National Provider Identifier is 1912649666, issued on Apr 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Apr 26, 2022.