Individual
DR. BRIAN L DUNFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S WICKHAM RD, WEST MELBOURNE, FL 32904-1137
(321) 400-1220
(321) 241-3000
Mailing address
2200 W EAU GALLIE BLVD, 200, MELBOURNE, FL 32935-3165
(321) 253-2900
(321) 435-0100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA08476200
NJ
2085R0202X
Diagnostic Radiology Physician
MD434039
PA
2085R0202X
Diagnostic Radiology Physician
ME110941
FL
2085R0204X
Vascular & Interventional Radiology Physician
25MA08476200
NJ
2085R0204X
Vascular & Interventional Radiology Physician
MD434039
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME110941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004046300
—
FL
05
—
0176036
—
NJ
05
—
1021248970001
—
PA
01
—
P00613880
RAILROAD MEDICARE
PA
01
—
P00642742
RAILROAD MEDICARE
NJ
Enumeration date
07/17/2006
Last updated
11/03/2015
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