Individual provider · NPI-1

Dr. Elizabeth Marie Brennan, M.D.

Pediatrics · St Petersburg, FL

NPI number1720101397
StatusActive
Last updated in NPPESAug 6, 2012

Details

NPI
1720101397
Entity type
Individual (NPI-1)
Name
Dr. Elizabeth Marie Brennan
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2007
Last updated
Aug 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X PediatricsME104203FLYes
2080A0000X Pediatrics, Adolescent MedicineD59277MD

Other names

  • Elizabeth Marie Brennan (Other Name)

Practice location

601 5th St S Dept 6941
St Petersburg, FL 33701

Phone 727-767-8480 · Fax 727-767-8420

Mailing address

601 5th St S Dept 6941
St Petersburg, FL 33701

Phone 727-767-8480 · Fax 727-767-8420

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