Individual
DR. JOSEPH M BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4048 EVANS AVE, STE 303, FT MYERS, FL 33901-9390
(239) 332-5344
(239) 332-7246
Mailing address
4048 EVANS AVE, STE 303, FT MYERS, FL 33901-9390
(239) 332-5344
(239) 332-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0060770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008001069
CIGNA PPO
FL
01
—
050027899
MEDICARE RAILROAD
FL
01
—
0867335
CIGNA HMO
FL
01
—
14711
BSFL NASCO
FL
01
—
14711Z
MEDICARE SECONDARY
FL
01
—
278295
AVMED HMO
FL
01
—
370203100
MEDICAID GENERIC HMO
FL
05
—
370203100
—
FL
01
—
790532
AETNA
FL
Enumeration date
05/27/2005
Last updated
08/31/2007
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