Individual provider · NPI-1
Dr. Paul Anderson Brannan, MD.
Ophthalmology · Sarasota, FL
NPI number1235126186
StatusActive
Last updated in NPPESFeb 7, 2020
Details
- NPI
- 1235126186
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Anderson Brannan
- Credential
- MD.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2005
- Certification date
- Feb 7, 2020
- Last updated
- Feb 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | ME102185 | FL | Yes |
| 207W00000X | Ophthalmology | 35076811 | OH | |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | ME102185 | FL |
Practice location
5310 Clark RdSte 106
Sarasota, FL 34233-3228
Phone 941-921-0400
Mailing address
5310 Clark RdSte 106
Sarasota, FL 34233-3228
Phone 941-921-0400 · Fax 941-870-1628
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