Brenner, Laurence Harvey

Brenner, Laurence Harvey is an sole proprietor health care provider with primary practice located at 3030 Harden Blvd , Lakeland FL 33803-7952. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Brenner, Laurence Harvey can be contacted via phone (863) 687-1250.

Contact Information

Primary practice address
3030 Harden Blvd Lakeland FL 33803-7952
Phone: (863) 687-1250
Fax: (863) 687-1258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME91864 Florida
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X ME91864 Florida
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X ME91864 Florida

Profile Details

NPI number 1306894753
LBN Legal business name Brenner, Laurence Harvey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2006
Last updated Jul 30th, 2022 - about 3 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 1306894753 NPPES
Florida Other K7473 MEDICARE GROUP PROVIDER
Florida MEDICAID 274526700 MEDICARE GROUP PROVIDER
Florida Other 52154A MEDICARE GROUP PROVIDER
Florida Other 6137800001 MEDICARE GROUP PROVIDER

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