Organization
MEDSAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN BRENNER PHD (CHIEF EXECUTIVE OFFICER)
(727) 699-2777
Entity
Organization
Contact information
Practice address
3360 SCHERER DR N STE B, SAINT PETERSBURG, FL 33716-1009
(727) 699-2777
Mailing address
3360 SCHERER DR N STE B, SAINT PETERSBURG, FL 33716-1009
(727) 699-2777
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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