Individual
DR. JORDAN LEE BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301505213
MI
207L00000X
Anesthesiology Physician
Primary
ME144286
FL
207L00000X
Anesthesiology Physician
TRN22771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106789600
—
FL
Enumeration date
05/29/2016
Last updated
11/10/2025
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