Individual
DR. RYAN J BROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 567-4000
(302) 651-4945
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS12184
FL
208M00000X
Hospitalist Physician
OS12184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009406500
—
FL
01
—
OS12184
MEDICAL
FL
Enumeration date
06/22/2010
Last updated
05/23/2024
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