Individual
BRIAN W FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1201 PIPER BLVD STE 24, NAPLES, FL 34110-1385
(239) 260-5307
(239) 260-5308
Mailing address
2270 SOMERSET PL, NAPLES, FL 34120-2862
(303) 931-7408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1835
CO
363A00000X
Physician Assistant
Primary
PA9114682
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35624221
—
CO
Enumeration date
12/13/2006
Last updated
07/12/2021
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