Individual
DR. ANNETTE MAGNANT BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 571-6331
Mailing address
41144 24TH TER E, MYAKKA CITY, FL 34251-2206
(941) 920-0767
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME70818
FL
208000000X
Pediatrics Physician
344627
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250021300
—
FL
01
—
31268
BC/BS OF FLORIDA
FL
Enumeration date
09/13/2006
Last updated
12/18/2024
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