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Organization
JOHN PATRICK BRENNAN OD PA
Active
Organization
JOHN PATRICK BRENNAN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK BRENNAN SR. OD PA (OWNER)
(863) 467-0595
Entity
Organization
Contact information
Practice address
710 S PARROTT AVE, OKEECHOBEE, FL 34974-5138
(863) 467-0595
(863) 467-1686
Mailing address
710 S PARROTT AVE, OKEECHOBEE, FL 34974-5138
(863) 467-0595
(863) 467-1686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FLOPC971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084047500
—
FL
01
—
19044
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/02/2008
Last updated
09/29/2008
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