Individual
DR. BRIAN W HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
9981 S HEALTHPARK DR STE 156, FORT MYERS, FL 33908-3618
(239) 343-6341
(239) 343-6342
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6341
(239) 343-6342
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME46159
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041668100
—
FL
01
—
3568049
AETNA HMO
—
01
—
53818
BLUE SHIELD
FL
01
—
7864548
AETNA PPO
—
01
—
ME46159
MEDICAL LICENSE
FL
01
—
P00145701
RAILROAD MEDICARE
—
Enumeration date
06/11/2006
Last updated
03/25/2021
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