Individual
MISS CAROLINE BRENNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8960 COLONIAL CENTER DR STE 210, FORT MYERS, FL 33905-7803
(239) 343-9430
(239) 343-9495
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9430
(239) 343-9495
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS17684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110894000
—
FL
Enumeration date
04/11/2016
Last updated
01/10/2025
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