Individual
BRIAN HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 398-2000
(239) 278-0404
Mailing address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 398-2000
(239) 278-0404
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME83978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10710956
CAQH
—
01
—
12633
BCBS
—
01
—
192725
ABIM
—
05
—
264693500
—
FL
01
—
2823556
CIGNA
—
01
—
7029334
AETNA
—
01
—
H72181
UPIN
—
Enumeration date
07/05/2006
Last updated
04/17/2025
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