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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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