Provider Demographics
NPI:1710174602
Name:BRETT E. STANALAND, M.D., P.A.
Entity Type:Organization
Organization Name:BRETT E. STANALAND, M.D., P.A.
Other - Org Name:ALLERGY & ASTHMA SPECIALISTS OF NAPLES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:E
Authorized Official - Last Name:STANALAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-434-6200
Mailing Address - Street 1:1000 GOODLETTE RD N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5474
Mailing Address - Country:US
Mailing Address - Phone:239-434-6200
Mailing Address - Fax:239-434-5741
Practice Address - Street 1:1000 GOODLETTE RD N
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5474
Practice Address - Country:US
Practice Address - Phone:239-434-6200
Practice Address - Fax:239-434-5741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062874207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
21957OtherBCBS GROUP PROVIDER #
K0496Medicare PIN