Brestan, Elmer P

Brestan, Elmer P is an individual health care provider with primary practice located at 4724 N Davis Hwy , Pensacola FL 32503-2339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Brestan, Elmer P can be contacted via phone (850) 696-4000.

Contact Information

Primary practice address
4724 N Davis Hwy Pensacola FL 32503-2339
Phone: (850) 696-4000
Fax: (850) 444-7057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0015703 Florida
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9306 Alabama

Profile Details

NPI number 1801881222
LBN Legal business name Brestan, Elmer P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Mar 10th, 2011 - about 14 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 1801881222 NPPES
Florida MEDICAID 039662100
Florida Other 17472Y

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