| Brian P Magrane Mdpa | |
|
91550 Overseas Hwy Suite 109 Tavernier FL 33070-2506 | |
| (305) 853-5214 | |
| (305) 853-5218 |
| Full Name | Brian P Magrane Mdpa |
|---|---|
| Speciality | Family Medicine |
| Location | 91550 Overseas Hwy, Tavernier, Florida |
| Authorized Official Name and Position | Brian Magrane (PRESIDENT) |
| Authorized Official Contact | 3058535214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian P Magrane Mdpa Po Box 465 Tavernier FL 33070-0465 Ph: (305) 853-5214 | Brian P Magrane Mdpa 91550 Overseas Hwy Suite 109 Tavernier FL 33070-2506 Ph: (305) 853-5214 |
| NPI Number | 1609061225 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 10/22/2018 |
| Medicare PECOS PAC ID | 3870528367 |
|---|---|
| Medicare Enrollment ID | O20051004000356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609061225 | NPI | - | NPPES |
| K4453 | Other | FL | MEDICARE PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0086408 (Florida) | Primary |
| Provider Name | Brian P Magrane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740228121 PECOS PAC ID: 2365582566 Enrollment ID: I20100920000507 |
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