Individual
DR. MICHAEL BRANDON REGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9025 TOWN CENTER PKWY, LAKEWOOD RANCH, FL 34202-4175
(941) 900-4500
(941) 210-4532
Mailing address
9025 TOWN CENTER PKWY, LAKEWOOD RANCH, FL 34202-4175
(941) 900-4500
(941) 210-4532
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH11247
FL
111NN0400X
Neurology Chiropractor
S01350
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107050
AETNA
—
01
—
320469
COVENTRY
—
01
—
52-1934607
TAX ID
—
01
—
53603803
CAREFIRST BCBS
MD
01
—
53603804
BCBS
MD
01
—
E6530002
CAREFIRST BLUE CHOICE
MD
01
—
E6530002
FEDERAL BCBS
—
Enumeration date
01/17/2007
Last updated
10/26/2016
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