Individual
DR. BRETT SCOT HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 S TAMIAMI TRL, SUITE 304, SARASOTA, FL 34239-2221
(941) 365-2122
(941) 365-2009
Mailing address
1250 S TAMIAMI TRL, STE. 304, SARASOTA, FL 34239-2221
(941) 365-2122
(941) 365-2009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS5342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65-0707307
FEDERAL TAX I.D.
FL
Enumeration date
08/08/2006
Last updated
10/01/2012
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