Individual
DR. JOHN PATRICK BRENNAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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
FLOPC 000971
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084047500
—
FL
01
—
19044
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/16/2006
Last updated
12/18/2018
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