Individual
DR. BRENT J HOLLERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26240 MIRA WAY, BONITA SPRINGS, FL 34134-1637
(239) 498-7852
Mailing address
26240 MIRA WAY, BONITA SPRINGS, FL 34134-1637
(239) 498-7852
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01028032A
IN
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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