Individual
BRIAN SIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8960 COLONIAL CENTER DR STE 206, FORT MYERS, FL 33905-7810
(239) 343-9696
(239) 343-4198
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9696
(239) 343-4198
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS18759
FL
208600000X
Surgery Physician
036-105518
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105518
—
IL
05
—
114110200
—
FL
Enumeration date
10/01/2006
Last updated
07/05/2022
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