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Individual

DR. BRETT E STANALAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 GOODLETTE RD N, SUITE 200, NAPLES, FL 34102-5474
(239) 434-6200
(239) 434-5741
Mailing address
1000 GOODLETTE RD N, SUITE 200, NAPLES, FL 34102-5474
(239) 434-6200
(239) 434-5741

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
ME0062874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26815
BLUE CROSS PROVIDER #
05
378659500
FL
Enumeration date
07/18/2005
Last updated
12/15/2022
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