Individual
DR. BRIAN P CORNNELL
Active
Individual
DR. BRIAN P CORNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0042908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02090
BLUE CROSS OF FLORIDA
FL
05
—
043847200
—
FL
01
—
300017097
RR MEDICARE
FL
Enumeration date
10/14/2005
Last updated
09/17/2012
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