IndividualActive
Brian Connelly
NPI 1508486960 · Surgical Technologist · Dade City, FL
Provider details
- NPI number
- 1508486960
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
13100 Fort King Rd
Dade City, FL 33525-5294
Phone: (352) 521-1175
Approximate (ZIP-level) locationGet directions
Mailing address
5522 18th St
Zephyrhills, FL 33542-4518
Registry dates
- Enumerated
- 2020-04-25
- Last updated
- 2020-04-25
- Certified
- 2020-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.