Brenner, Adam

Brenner, Adam is an individual health care provider with primary practice located at 2776 Cleveland Ave , Fort Myers FL 33901-5864. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Brenner, Adam can be contacted via phone (239) 334-5606.

Contact Information

Primary practice address
2776 Cleveland Ave Fort Myers FL 33901-5864
Phone: (239) 334-5606
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME83198 Florida
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X MD00078712 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00048712 Washington

Profile Details

NPI number 1992818132
LBN Legal business name Brenner, Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated May 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992818132 NPPES
Florida Other 279194 AVMED
Florida MEDICAID 8501967 AVMED
Florida Other 220945 AVMED
Florida MEDICAID 265736800 AVMED
Florida Other 47894 AVMED

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