Provider Demographics
NPI:1528045747
Name:KURLAND, BRIAN DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:DANIEL
Last Name:KURLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13782 PLANTATION RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4462
Mailing Address - Country:US
Mailing Address - Phone:239-936-8575
Mailing Address - Fax:239-936-7664
Practice Address - Street 1:13782 PLANTATION RD
Practice Address - Street 2:UNIT103
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4462
Practice Address - Country:US
Practice Address - Phone:239-936-8575
Practice Address - Fax:239-936-7664
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME665902086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL375993800Medicaid
FLF59190Medicare UPIN
FL375993800Medicaid