Organization
BRIAN P MAGRANE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MAGRANE M.D. (PRESIDENT)
(305) 853-5214
Entity
Organization
Contact information
Practice address
91550 OVERSEAS HWY, SUITE 109, TAVERNIER, FL 33070-2506
(305) 853-5214
(305) 853-5218
Mailing address
PO BOX 465, TAVERNIER, FL 33070-0465
(305) 853-5214
(305) 853-5218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0086408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K4453
MEDICARE PROVIDER ID
FL
Enumeration date
09/06/2007
Last updated
10/22/2018
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