Individual
DR. JON BRILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13782 PLANTATION RD STE 201, FORT MYERS, FL 33912-4462
(239) 343-1290
(239) 343-4008
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1290
(239) 343-4008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD-010476-E
PA
2084N0400X
Neurology Physician
Primary
ME102388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006234560003
—
PA
05
—
0006234560004
—
PA
05
—
001644200
—
FL
05
—
0206609000
—
WV
05
—
0270880
—
OH
Enumeration date
07/22/2005
Last updated
03/24/2021
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