Individual
BRIAN DAVID ZELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24600 S TAMIAMI TRL STE 500, BONITA SPRINGS, FL 34134-7025
(239) 948-3761
(239) 948-3762
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35078457Z
OH
207Q00000X
Family Medicine Physician
Primary
ME146811
FL
Other
Enumeration date
09/22/2006
Last updated
05/23/2022
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