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Individual

PAUL R. BRETTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
507 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2618
(239) 772-0500
(239) 772-3076
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 424-2030
(239) 343-4116

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0057549
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0627067-005
CIGNA PROVIDER NUMBER
FL
05
063616900
FL
01
10507
BCBS PROVIDER NUMBER
FL
01
1192948
WELLCARE
FL
01
215252
AMERIGROUP PROVIDER NUM.
FL
01
243136
AVMED PROVIDER NUMBER
FL
01
285158
USA MNGD. CR. PROVIDER #
FL
01
4199976
AETNA PROVIDER NUMBER
FL
01
739834
FIRST HLTH/CCN PROVIDER #
FL
01
77074
OP. ENGIN. PROVIDER #
FL
01
ME0057549
METCARE PROVIDER NUMBER
FL
Enumeration date
02/21/2006
Last updated
03/24/2021
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