Grogan, Brian Dale

Grogan, Brian Dale is an individual health care provider with primary practice located at 148 13Th St Sw Suite #200, Largo FL 33770-3127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Grogan, Brian Dale can be contacted via phone (727) 450-3030.

Contact Information

Primary practice address
148 13Th St Sw Suite #200 Largo FL 33770-3127
Phone: (727) 450-3030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP911572 Florida

Profile Details

NPI number 1427032499
LBN Legal business name Grogan, Brian Dale
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Jul 8th, 2007 - about 18 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 1427032499 NPPES
Florida Other G0161 BCBS
Florida MEDICAID 303306600 BCBS

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